Accessing academic records is a crucial step for students pursuing further education or career opportunities, and the Louisburg Transcript Request form serves as a essential tool in this process. This form allows students to formally request a copy of their academic transcript to be sent to a specific address, catering to a variety of recipients including educational institutions, potential employers, or other organizations. Ensuring compliance with federal law, the form states that the transcript can only be released with the student’s written consent, protecting the privacy and rights of the individual. It requires detailed information such as the recipient’s address, the student's full name, current contact details, and the name under which the student was enrolled, if different. Additionally, it covers the academic tenure with the dates of attendance and personal identifiers for verification, including social security number and date of birth. Importantly, the form outlines that the first copy of the transcript is provided free of charge, with subsequent copies incurring a fee that must be paid in advance. Moreover, it highlights the college's policy of withholding transcripts in case of any outstanding financial obligations by the student. The form concludes with a space for the student’s signature and the date, alongside the Louisburg College Registrar’s Office contact details for further assistance. This comprehensive approach ensures that the transcript request process is both user-friendly and aligned with legal standards.
| Question | Answer |
|---|---|
| Form Name | Louisburg Transcript Request Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | withhold, balances, Registrar, default |
TRANSCRIPT REQUEST FORM
PLEASE ISSUE A COPY OF MY ACADEMIC RECORD TO THE ADDRESSEE SHOWN BELOW:
________________________________________________________________________________________________________
Oice or name of a particular person
________________________________________________________________________________________________________
Name of school or employer or institution
________________________________________________________________________________________________________
Street addressApartment or box number
________________________________________________________________________________________________________
City |
State |
Zip code |
Fax number if needed |
In accordance with Federal Law - |
the transcript issued to the above address may not be released to any other |
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party without the student's writen consent. |
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Full name printed |
______________________________________________________________________________________ |
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First |
Middle |
Last |
________________________________________________________________________________________________________
Current addressApartment or box number
________________________________________________________________________________________________________
City |
State |
Zip code |
Home phone: ______________________________________ |
Cell phone:________________________________________ |
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Signature: ______________________________________________________ Date signed: ____________________________
REQUIRED
Name enrolled under if diferent from above : ______________________________________________________________
Dates of atendance: __________________________________ |
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Social security number: _________ - _______ - ___________ |
Date of birth: ________ / __________ / ____________ |
There is no charge for the irst copy of a transcript. After the irst copy, the charge is $ . . The $ . fee must be paid before the transcript request can be fulilled.
Louisburg College reserves the right to withhold academic transcripts in the event of an outstanding obligation owed, which includes a failure to pay tuition or outstanding balances, and/or a default on any federal student loan including a Federal Perkins Loan .
Louisburg College Registrar's Oice | |
N. Main St. | Louisburg, NC | |
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Phone: . . |
| Fax: . . |
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