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Highline Community College
Request for Transcripts |
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Please PRINT this page.
Fill in clearly and legibly. |
3
days processing time.
Request will be kept on file for 30 days. |
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Last Name
First Name
MI |
Student Identification Number
(SID) if known:
Birth Date:
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Social Security Number: Other names used:
Your social
security number is confidential and, under a federal law called the Family
Educational Rights & Privacy Act, the college
will protect it from
unauthorized use and/or disclosure. In compliance with state/federal
requirements, disclosure may be authorized
for the purposes of state and federal
financial aid, Hope/Lifetime Learning tax credits, academic transcripts,
assessment or
accountability research. The
information contained herein is confidential and cannot be released in personally
identifiable form
without the written consent of the student. |
| Address:
Apt No:
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| City: State: ZIP: |
| Day Telephone: Evening Telephone:
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Email Address: |
| Please send: # Official transcripts
# Unofficial transcripts
Check all that apply: |
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Send at conclusion of
current quarter.
I am a member of PTK. |
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Send after degree entered
on transcript. Graduate Year/Qtr: |
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Attended Highline prior
to Winter Quarter 1976 |
I will Pick-up
my transcript(s).
(Sign
here at time of pick-up.)
Date |
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Please Mail my
transcript(s) to the address(es)
below. |
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| Mail transcripts to:
(If different from above. Use blank second page if more than one. |
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Signature:
Required for ALL requests. |
Mail
with payment to:
Registration and Records 6-4
Highline Community College
2400 S. 240th Street
Des Moines WA 98198-9800
Include payment for fee. |
OR |
Fax
request (if paying with a credit card) to:
Registration and Records 206-870-4855
Circle type of credit card: VISA or Mastercard
Account number:
Exp. date: Amount to be charged: |
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