Request For Jsrcc Transcript – Fill Out and Use

Request For JSRCC Transcript

Please mail, fax or email this form:

Central Admissions and Records

P.O. Box 85622

Richmond, VA 23285-5622

FAX Number: (804) 371-3650 or Email: Admissions@Reynolds.edu

Student’s SSN:

EmplID:

Last Name

First Name

MI

Jr.,3rd

Date of Birth

Home Address:

Contact Phone#:

Email Address:

SIGNATURE OF STUDENT:

DATE:

INFORMATION FOR STUDENT

A new form must be completed for each transcript request.

You may mail or FAX this request form or bring it to Enrollment Services.

There is no fee.

All bills owed to the college must be paid in full.

Please allow 1 to 2 weeks for delivery. All official transcripts will be sent by mail to the address you provide.

The College does not FAX official transcripts.

To view your unofficial transcript please log on to MyReynolds Online. Click Self Service> Student Center> Other Aca- demics. Click on the drop down and select view unofficial transcript

PLEASE PRINT CLEARLY

Check only one option

Mail as soon as possible (Complete mailing information below).

OR

Mail or  Pick up as soon as this semester’s grades are available (Complete mailing or pick-up information below).

OR

Mail or  Pick up after I graduate from JSRCC (Check semester below and complete mailing or pick-up Information).

 FALL (Aug - Dec) 20

 SPRING (Jan - May) 20

 SUMMER (May - July) 20

Pick up when ready from Central Admissions and Records, Parham Rd Campus, Georgiadis Hall, Room 207. (Anyone picking up a transcript must present a picture ID)

Please call me at:

I authorize

to pick up my transcript.

Mail an official JSRCC transcript to:

Street Address

City

State

Zip

JSRCC Form No. 11-0005 Transcript Request form 07-2015

This institution promotes and maintains educational opportunities without regard to race, color, sex, ethnicity, religion, gender, age (except when age is a bona fide occupational qualification) handicap, national origin or other non-merit factors. Employer, date of birth, social security, sex and race information are optional and used for research, reporting and management of student records.