Example: bachelor of science

Student Information - Remington College

TRANSCRIPT REQUEST FORMMail to: Remington College Attn: Transcripts 7131 Business Park Lane OR Fax: (407) 641-9628 Lake Processing Time is five to seven business days, plus standard mailing. Student Information Student Name (Last Name, First Name, MI) Date of Birth Last 4 Digits of SSN Student Name at Time of Enrollment Phone Number Email Current Address Name of School Attended City/Campus City, State & Zip Code Grad Date or Year(s) Attended Major/Program Number of Transcripts Being Requested Complete a separate form for each new address Send an Official Transcript to: ( Remington College does not subscribe to eScrip) Send to my Current Address Name $_____ OFFICIAL USE ONLY DO NOT USE Attention to: #_____ Check No Record Found CN Official Address M/O Mailed EASI Unofficial City, State, Zip Code CC Faxed PCES Other Emailed CD Date Sent ___/___/___ Fax / Email (Most institutions do not accept electronic transcripts as official) Student Authorization Per the Family Educational Rights and Privacy Act (FERPA), I authorize Remington College to release my academic transcript to the listed recipient provided on this form.

Remington College . Attn: Transcripts . 7131 Business Park Lane . OR Fax: (407) 641-9628 . Lake Processing Time is five to seven business days, plus standard mailing. Student Information. Student Name (Last Name, First Name, MI) Date of Birth Last 4 Digits of SSN . Student Name at Time of Enrollment Phone Number Email

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Transcription of Student Information - Remington College

1 TRANSCRIPT REQUEST FORMMail to: Remington College Attn: Transcripts 7131 Business Park Lane OR Fax: (407) 641-9628 Lake Processing Time is five to seven business days, plus standard mailing. Student Information Student Name (Last Name, First Name, MI) Date of Birth Last 4 Digits of SSN Student Name at Time of Enrollment Phone Number Email Current Address Name of School Attended City/Campus City, State & Zip Code Grad Date or Year(s) Attended Major/Program Number of Transcripts Being Requested Complete a separate form for each new address Send an Official Transcript to: ( Remington College does not subscribe to eScrip) Send to my Current Address Name $_____ OFFICIAL USE ONLY DO NOT USE Attention to: #_____ Check No Record Found CN Official Address M/O Mailed EASI Unofficial City, State, Zip Code CC Faxed PCES Other Emailed CD Date Sent ___/___/___ Fax / Email (Most institutions do not accept electronic transcripts as official) Student Authorization Per the Family Educational Rights and Privacy Act (FERPA), I authorize Remington College to release my academic transcript to the listed recipient provided on this form.

2 Signature (Computer Generated Signatures Not Accepted) Date------------------------------------ ---------------------------------------- ---------------------------------------- ------------------------------ Payment Information Enclosed is a check or money order payable to Remington College . Payment made online. Please provide the Order ID. This can be found on your Order Confirmation. **PLEASE RETAIN A COPY FOR YOUR RECORDSDO NOT WRITE IN THS AREA


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