Transcript Request Form - Normandale Community College

Request for Official Transcript
This request cannot be fulfilled if you have any holds preventing issuance of transcripts. Incomplete or illegible
forms may be returned to you for additional information. Only courses taken at Normandale Community College
will appear on your transcript.
Section A. Student information
First Name
Middle
Last
Student ID Number or Social Security number
Birthdate
Former names used while attending
Current mailing address
City
State
Signature (required)
Date
ZIP code
Email address or telephone number
Section B. Order summary
Type of service
Quantity
Regular service mailed within three business days. Allow
sufficient time for delivery by U.S. Mail. (Transcript may take up
to ten business days for the accepting institution to receive)
Rush service mailed within one business day. Allow sufficient
time for delivery by U.S. Mail. (Transcript may take up to ten
business days for the accepting institution to receive)
Pick up from the Records Office after allowing three days for
processing
Cost
Total cost
(quantity X cost)
$8.00 each
$15.00 each
$8.00 each
Pick up from the Records Office (same day service)
$15.00 each
Section C. Special requests
Please mail my transcript (select only one
option)
 Now

 After degree
or certificate
is recorded

 After MnTC is
recorded

 After grades
are posted for the
___________ term
_ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Section D. Payment information
□ Cash (in-person orders only)
□ Check or money order (payable to Normandale Community College)
□ Credit Card (Visa, Mastercard, Discover or Debit Card) Credit or Debit Card # ___________________________________
Expiration Date: _______ (month) / _______ (year)
IMPORTANT: Complete recipients’ address and details on the reverse of this page.
Section E. Delivery address and order details
Recipient 1
Name of recipient
Office use only below this line
RegularRush
Mailing address line one (street and apartment or P.O. Box number)
Mailing address line two (optional)
City
(business office)
State
ZIP Code
(reviewer)
Check here if rush processing (requires additional fee). Allow 7-10 business days for delivery.
(sent date)
Rush processing means you can pick up your transcript from Records or we will mail your transcript via regular
U.S. First Class mail (not rush mail) within one business day of receiving your paid and completed request.
Recipient 2
Name of recipient
Office use only below this line
RegularRush
Mailing address line one (street and apartment or P.O. Box number)
(business office)
Mailing address line two (optional)
City
State
(reviewer)
ZIP Code
Check here if rush processing (requires additional fee). Allow 7-10 business days for delivery.
(sent date)
Rush processing means you can pick up your transcript from Records or we will mail your transcript via regular
U.S. First Class mail (not rush mail) within one business day of receiving your paid and completed request.
Recipient 3
Name of recipient
Office use only below this line
RegularRush
Mailing address line one (street and apartment or P.O. Box number)
Mailing address line two (optional)
City
(business office)
State
ZIP Code
(reviewer)
Check here if rush processing (requires additional fee). Allow 7-10 business days for delivery.
(sent date)
Rush processing means you can pick up your transcript from Records or we will mail your transcript via regular
U.S. First Class mail (not rush mail) within one business day of receiving your paid and completed request.
Return this form to:
Fax:
952-358-8235
E-mail: [email protected]
Mail:
Normandale Community College
Payments and Billing Office
9700 France Ave South
Bloomington, MN 55431
I:\Inet\Private\RecordsShared\Records\Forms\Transcript Request Form 062016.docx