"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
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:_______________