Prairie State College Transcript Request Form – Fill Out and Use This PDF

TRANSCRIPT REQUEST FORM

Office of Enrollment Services

Present Name

Maiden Name and/or Other Name

Student ID Number/Social Security Number

Street Address

City

State

Zip Code

Date of Birth

Daytime Phone (with area code)

Evening Phone (with area code)

Dates of Attendance:

to

G Presently attending

G I attended prior to 1984 (Note: additional processing time may be required.)

Send Transcripts: (check one) G Now

G Hold until final grades are posted

G Hold until degree/certificates are posted

degree/certificate

Indicate: G Pick-up OR G Fax (unofficial only) (

)

-

OR

G Mail transcript to

*Organization or Individual

Attention

*Address

*City

*State

* Zip Code

* R eq u ire d . If a d d re ss is in c orre c t, s tu d en t is resp on sib le fo r ord erin g a n d p a yin g fo r a n a d d itio n a l tra n sc rip t.

Fee and Quantity: Processing tim e: Sam e day**				Processing tim e: 3-5 days
G Official copy (same day service)	$5.00		quantity	G Official (3-5 business days)	$3.00			quantity
G Unofficial copy (fax service)	$5.00		quantity	GReal Estate Transactions (3 -5 b u s. da ys )	$3.00			quantity
G Unofficial (same day service)	$3.00		quantity	GHome Inspection (3 - 5 b u s. d a ys )	$3.00			quantity
				GReal Estate Appraisal (3 - 5 b u s. d a ys )	$3.00			quantity

* * Un official tran script reques ts for faxed d elivery/official sam e da y service reques ts m ust be received b y 2 p .m . for sam e da y service .

N O T E : P ro c es s ing tim e referenc es the tim e require d to pro duc e the tran s c rip t, it doe s no t inc lude m ailing tim e . T ra n s c rip ts b ein g h eld fo r p ic k -u p w ill b e m a ile d to th e a d d re ss in d ic a te d a b ov e if n ot re trie ve d w ith in on e m o n th .

M :\A d m is s io n s \tra n s c rip tre q u e s tfo rm w e b -re v 0 6 3 0 .w p d

INSTRUCTIONS:

1.Print out the transcript request form .

2. Com plete the form with the necessary inform ation.

3. Return the com pleted transcript request form to the Office of Enrollm ent Services using one of the following delivery m ethods:

a. Mail the form with a check or m oney order payable to Prairie State College. The com pleted form and paym ent should be m ailed to:

O ffice of Enrollm ent Services Prairie State College

202 South Halsted Street Chicago Heights, IL 60411

b. Fax the form to the Office of Enrollm ent Services at (708) 709-3951. Prior to faxing the request, call the Business O ffice at (708) 709-3577 and pay the transcript request fee. After the fee is paid, you will be provided a receipt num ber. W rite the receipt num ber on your transcript request form .

c. Bring the form to the Office of Enrollm ent Services located on the m ain cam pus at 202 South Halsted Street in Chicago Heights, Illinois. Prior to subm itting the form visit the Business Office also located on our m ain cam pus to pay the transcript request fee.

NO TE :

•Please allow 3-5 days for internal processing.

•Form s received after 2:00 p.m . will not be processed until the next business day.

•Transcript request form s will be processed after all financial account balances are cleared.

M :\A d m is sio n s\tra n sc rip tre q u e s tfo rm w e b -re v 06 3 0 .w p d \2 0 1 0