_____ 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.