Carrington Online – Fill Out and Use This PDF

Carrington College

Campuses in AZ, ID,

NV, NM, OR, TX,

and WA

TRANSCRIPT REQUEST / EDUCATION VERIFICATION

Fee: Official transcripts $10.00 per copy, $5.00 for additional copies at time of request. No fee for education verification.

Please complete all information:

Oicial transcripts requested  Unoicial transcripts requested  Education veriication only

Enrollment status:  Current Student  Graduate  Withdrawn

Action Requested (select one):

Fax to: Attention________________________________________ Fax number (_____) ______________________________

Email to (for Education Verifications Only)___________________________________________________________________

Mail to ________________________________________________________________________________________________

Address ______________________________________________________________________________________________

City ___________________________________________________________________ State __________ Zip ___________

Other instructions ______________________________________________________________________________________

Student Signature (REQUIRED) _____________________________ Date __________________________________________

Mail the completed form and payment to the campus location attended - Attention: Registrar

•Transcripts cannot be released without the student’s signature.

•Transcript requests for records 1994 and after require 3 business days for processing. Transcript requests for records prior to 1994 require 30 days from date of receipt at home office for processing.

•Transcripts are not released to students with outstanding balances on their student accounts.

•Failure to complete exit counseling may result in placement of a hold on students’ records, which would prevent fulfillment of transcript requests.

•Carrington College can only release transcripts from Carrington College (formerly Apollo College or American Institute of Health Technology). You must apply directly to each institution for your academic record at that school.

Registrar use only

Amount paid $ ___________________________________________ Receipt #_______________________________________

Request completed by _____________________________________ Date completed _________________________________

Date sent to Home Oice __________________________________ Home Oice received on __________________________

Home Oice response date _________________________________