Lackawanna College Trancsripts Form PDF Details

Have you recently completed a course at Lackawanna College and in need of an official transcript? Wonder no more, as the college has issued its Official Transcript Request Form to help simplify the process. This easy-to-follow form will allow students to easily request their transcripts from any academic institution that they have attended – whether it be prior high school education or current community college credits. Following this quick guide will ensure that you receive your desired transcripts expediently and accurately.

Form NameLackawanna College Trancsripts Form
Form Length2 pages
Fillable fields0
Avg. time to fill out30 sec
Other nameslackawanna trail school district transcripts, lackawanna college transcipts, lackawanna transcripts, lackawanna college registrar

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Academic Record and Transcript Request

About your transcript request:

*There is a fee of $5.00 per transcript copy.

*Requests must be received by the Office of the Registrar at least 5 working days before the transcript is needed.

*This request may be faxed. The fee may be paid by credit card – please include your card type, number and expiration date with your request.


*Financial indebtedness to Lackawanna College may preclude the release of transcript.

Name: ___________________________________Last 4 digits of SS# or Student ID ________Date ________

Address: ____________________________________ City: ________________________________________

State: ______________ Zip Code: ____________________Phone: ( ) ____________________________

Send Transcripts to:

Name of Institute or Person: __________________________________________________________________

Address of Institute or Person: _________________________________________________________________


Request is for:

_____ An Official transcript. . (An official sealed transcript is to be presented unopened to

a third party. If seal is broken transcript is no longer considered official).

____ Student Copy.

If you want the Transcript sent out at the end of the semester please check here ______.

Are you a graduate of Lackawanna College? _____ Yes ____ No If Yes what Year? ___________________

Are you currently enrolled at Lackawanna College? ____ Yes ____ No If no what year did you attend? ______

Maiden name at college if applicable: __________________________________________________________

Signature: ____________________________________________ Date: ______________________________

Do not write in space below

Business Office Approval: _______________________________ Fee Paid: __________________________

Date Transcript Mailed: __________________________________Initials: __________________________

*If paying by credit card please complete the form on next page. Address/Fax Number see next page

When completed, please mail this form (both pages) to the following address:


Or Fax the form (including credit card type, number and expiration date) to:

(570) 504-7925

For Payment by Credit Card:

Credit Card Type (Visa/MasterCard/Discover)______________________________

Card #: ________________________________________3 security code on back of card _______________

Expiration Date: _________________________________

Name of Card Holder: ____________________________

I authorize Lackawanna College to charge the above account for my transcript fee(s).


Authorized Signature


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Do not write in space below, Signature  Date, and Business Office Approval  Fee Paid inside lackawanna college transcript request form

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