Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd
Upload
21 views

Transcript Request Form

Uploaded by

ealtamirano2
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
21 views

Transcript Request Form

Uploaded by

ealtamirano2
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

Please mail (no faxes) completed application to: Transcript Request

New York State Education Department


Office of College and University Evaluation
89 Washington Avenue, Room 960 EBA Incomplete forms will be returned
Albany, NY 12234

Section 52.2 (e)(6) of the Regulations of the Commissioner of Education requires that transcripts of student
achievement be maintained permanently by higher education institutions and that copies must be made available to
students. When a New York State College closes, it is required to provide for the transfer of student transcripts to
another college, or to the New York State Education Department. If the college you attended is still open, the State
Education Department does not have your transcripts, you must contact that institution for a copy of your transcript,
even if the college has changed locations.

If the college you attended has closed, please refer to our web site for information on where student transcripts are
maintained. If the NYS Education Department is listed as the location for the student transcripts, you must use this
form to request a copy of your transcript. We will search the records that were provided to us by the institution
and notify you of the outcome of our search. Processing time for these requests takes an average of 14 business
days depending on the volume of requests.

Please Type or Print All Information. Thank you.


Current Student Name: Mr. Ms. Mrs. Miss
Student Name at Time of
Attendance:
Social Security Number: Date of Birth:
Current Home Address:
(include Street, Apt. #, City, State, Zip Code)
E-mail Address: Phone Number:
College Name:
College Address: (include
Street, City, State, Zip Code)
Title of Program:
Dates Attended: Graduated? Yes No
(from and to)
I authorize the New York State Education Department to forward my transcript, if available, to the following:
Name of College/Company:
Name of Person:
Address:

Transcript Request Diploma/Degree Request – initial, no duplicate copy


(former students of Taylor Business Institute only)
Original Student Signature*: Date:
*
If an individual other than the student is filing this form, an original letter of authorization signed by the student is
required due to the confidential nature of these records.

Revised v3 May 2017

You might also like