"Transcript Request Form - Hampshire College" - Massachusetts

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Transcript Request

for official transcript copies; we do not prepare unofficial transcripts. The College reserves the right to not issue

transcripts if the student’s financial obligations to the College are overdue. Use this form to request either mailed paper copies or secure electronic

copies of your transcript. Under normal circumstances it will take 5 business days to prepare your transcript, so please plan accordingly.

Name

: ___________________________________________________________________________________________________________________________

(LAST)

(FIRST)

(MIDDLE)

Name when you attended, if different from above:

____________________________________________________________________________________

Dates Attended

Hampshire ID#:

:____________________

__________________________________________

____________________________

(TERM ENTERED)

(GRADUATION/ WITHDRAWAL DATE)

Signature of student required

Electronic signatures are NOT accepted

:________________________________________________________________

Contact Info

:____________________________________________________

PLEASE NOTE: If the information you provide is incorrect or

(DAYTIME PHONE)

incomplete, Central Records will contact you via this email

and/or phone number. If you fail to answer either, we will file

____________________________________________________

away your transcript request, UNSENT after 5 business days.

(YOUR EMAIL)

NOTE: Before completing this form, review the information on the transcripts section of www.hampshire.edu/centralrecords.We accept

transcript requests via fax, mail or email and have options to deliver transcripts electronically or by mail. For questions, or to verify that we have

received your request, contact us at (413) 559-5421 or email transcripts@hampshire.edu.

Mail requests to:

Fax requests to:

Email requests to:

Central Records Office

(413) 559-5736

transcripts@hampshire.edu

Hampshire College

893 West Street

Amherst, MA 01002-3359

DELIVER AN ELECTRONIC TRANSCRIPT: Our partner, Scrip-Safe, has two options: one is for delivery to institutions within their network;

the other is a “OneTime” delivery. Check

www.hampshire.edu/centralrecords

for important information on electronic delivery of transcripts.

Check to see if an institution is included on the eScrip-Safe network:

http://www.scrip-safe.com/products/electronic-transcripts/network-members.aspx

Institution Name: (for electronic delivery only)

Deadline:

eScrip-Safe network member only, All non-member institutions will be ignored.

Institution Name: (for electronic delivery only)

Deadline:

eScrip-Safe network member only, All non-member institutions will be ignored.

‘ONE TIME’ ELECTRONIC DELIVERY: Enter the name of the recipient and the recipient’s email, or use this service to request an “issued to

student” copy for yourself. You should always notify your intended recipient they will be receiving email messages about your transcript from

@escrip-safe.com.

Recipient name:

Recipient email:

Deadline:

Recipient name

Recipient email:

Deadline:

PLEASE PRINT LEGIBLY!

MAIL A PAPER TRANSCRIPT TO: (Include Complete Mailing Addresses)

DEADLINE_____________

QUANTITY: _________

DEADLINE: ___________ QUANTITY:_______________

Transcript Request

for official transcript copies; we do not prepare unofficial transcripts. The College reserves the right to not issue

transcripts if the student’s financial obligations to the College are overdue. Use this form to request either mailed paper copies or secure electronic

copies of your transcript. Under normal circumstances it will take 5 business days to prepare your transcript, so please plan accordingly.

Name

: ___________________________________________________________________________________________________________________________

(LAST)

(FIRST)

(MIDDLE)

Name when you attended, if different from above:

____________________________________________________________________________________

Dates Attended

Hampshire ID#:

:____________________

__________________________________________

____________________________

(TERM ENTERED)

(GRADUATION/ WITHDRAWAL DATE)

Signature of student required

Electronic signatures are NOT accepted

:________________________________________________________________

Contact Info

:____________________________________________________

PLEASE NOTE: If the information you provide is incorrect or

(DAYTIME PHONE)

incomplete, Central Records will contact you via this email

and/or phone number. If you fail to answer either, we will file

____________________________________________________

away your transcript request, UNSENT after 5 business days.

(YOUR EMAIL)

NOTE: Before completing this form, review the information on the transcripts section of www.hampshire.edu/centralrecords.We accept

transcript requests via fax, mail or email and have options to deliver transcripts electronically or by mail. For questions, or to verify that we have

received your request, contact us at (413) 559-5421 or email transcripts@hampshire.edu.

Mail requests to:

Fax requests to:

Email requests to:

Central Records Office

(413) 559-5736

transcripts@hampshire.edu

Hampshire College

893 West Street

Amherst, MA 01002-3359

DELIVER AN ELECTRONIC TRANSCRIPT: Our partner, Scrip-Safe, has two options: one is for delivery to institutions within their network;

the other is a “OneTime” delivery. Check