Bachelor of Business Administration Program                                           Dr. Susan J. Ott, Director
                     Bryant & Stratton College                                      Professor Marc LoGrasso, Administrator
                      Personal Education. Lifetime Success.                              Mr. Robert Kociecki, Financial Aid
               2350 North Forest Rd. Ste. 10A Getzville NY 14068
                                                                                        Mr. Chris L. Yuen, Academic Advisor
                      Tel: 716.691.0012 Fax: 716.689.6467                       Ms. Serena D’Amato, Administrative Assistant

                                        OFFICIAL TRANSCRIPT REQUEST FORM

A $5.00 fee for each transcript must accompany this request. It may take a minimum of ten (10) days to a
maximum of twenty (20) school days from the receipt of payment until your transcript is mailed. If your transcripts
go to more than one location, you must include $5.00 for each location.

Please print or type all information:                                    Date:_______________________________

Name: ________________________________ Social Security Number: __________________________

Address: _____________________________________________________________________________

City: _____________________________ State: _____________________ Zip Code: ________________

Telephone: ( ______)__________________                    Email Address:__________________________________

Date of Birth:_______________________________                      Other Name(s):___________________________

I hereby give permission to Bryant & Stratton College to release my transcript to the following:

Name of Company/School: ______________________________________________________________

Attention of: __________________________________________________________________________

Address: ____________________________________________________________________________

City: _____________________________ State: _____________________ Zip Code: _______________

Campus Attended:          ___ Buffalo    ___ Amherst/Eastern Hills    ___ Lackawanna/Southtowns
                          ___ Albany     ___ Greece    ___ Henrietta ___ Syracuse ___ Syracuse North
                          ___ Cleveland ___ Parma      ___ Willoughby Hills        ___ Virginia Beach*
                          ___ Richmond* ___ Milwaukee ___ Milwaukee West           ___ Online Education
                          ___ Other: ___________________________________________________
                                                                                * : Formerly Commonwealth College
Year last attended Bryant & Stratton: ______________________________________________________

Did you graduate? _________Yes _________No

Degree Earned: ___ Diploma ___ Associate ___ Bachelor

Program Major: ______________________________________

Student's Signature: ________________________________________ Date: _ ___________________

Send transcript request and fee to the appropriate campus location:
Make check payable to: Bryant & Stratton College
Amherst/Buffalo/Southtowns (WNY BBA)
Mr. Chris L. Yuen
2350 North Forest Road
Suite 10A
Getzville, New York 14068

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