Suscc Transcript Request Form – Fill Out and Use

STATE COMMUNITY COLLEGE

WADLEY, AL 36276

256-395-2211

TRANSCRIPT REQUEST FORM

			Student Number/ Social Security Number
Student Name			List all previous names
Street address
City			Date of Birth	Currently Enrolled
				___yes ____no
State	Zip Code	Phone:		Cell:
_____________________________________________			__________________________
Student’s Signature			Date

This authorizes the release of my Southern Union State Community College Transcript to:

Mail Now

Pick up transcript (UNOFFICIAL ONLY)

Hold for current grades

Please Mail	Name of College:
__________Number of Copies
Address:

THIS SPACE FOR REGISTRAR’S OFFICE ONLY

We cannot release you transcript(s) due to the following hold on your account:

Incomplete Student Record File

Financial Obligation

Please contact the Business Office (ext 5482 or 5113)

Please contact the Financial Aid Office ( ext 5162)

Please contact the Library (ext 5130)

Your file can not be located under names given. Please include additional information in previous names section.

Once all obligations are fulfilled please resubmit this transcript request.

Transcript processed on __________________by_____________________

You can submit your transcript request online through the online access or by one of the following methods: Bring in person to the Records Office/ Student Services

Or Mail to: P.O. Box 1000, Wadley, AL 36276

Southern Union does NOT accept faxed transcript request nor do we fax transcripts.