_____ Please indicate if you are currently enrolled and would like for your transcript
to be printed after grades have been submitted.
Transcript Request Form
Mail to: Roanoke-Chowan Community College Attn: Finance and Administration 109 Community College Road, Ahoskie, NC 27910-9522 (or) Fax to 252-862-1356 Official Copy ($5 charge) Pay by mail: Pay by phone: In person: Unofficial Copy (No Charge) Name
Last First Mailing information City Middle State Former Zip
(Transcript will not be processed until payment has been received.)
Enclose Check or Money Order payable to Roanoke-Chowan Community College. Call 252-862-1214, Credit and Debit accepted (VISA and Mastercard only) Jerigan Building, Cashier Window (Room 102)
Curriculum
Address Telephone No. Social Security No. Transcript Forwarding Information I am requesting my transcript be
Mailed to
Individual/Company Name Mailing Address City State Zip
Faxed to
Fax Number
Picked up
Date
Requestor's Signature
Transcript will be provided within 10 working days.
Date
For Office Use Only
Date Transcript Sent/Picked up
RCCC 244 May '08 Previous editions obsolete
_____ Please indicate if you are currently enrolled and would like for your transcript
to be printed after grades have been submitted.