Transcript Request

Student Transcript Request  (Print this page, complete and mail to school)

Student Name:_____________________________________________

Maiden or Previous Name:____________________________________

Student ID Number: ___________      (Last 4 digits of your SS#)

Date of Graduation: ____________ 

Degree (s) Received: ________________________

If you did not graduate please include the approximate dates below:

Date first attended: ____________

Date last attended: ____________

 

Student Signature _______________________________  

Date _______________

 

PLEASE FOWARD A COPY OF MY OFFICIAL TRANSCRIPT TO THE FOLLOWING:

Name of Student/Institution ___________________________________

Mailing Address ______________________________________

Street or P.O. Box Number ______________________________

City _____________State __________Zip _________

*Print this page and send to school with your student ID number.

Southern Bible College & Seminary

Student Records

P.O. Box 764

Lenoir City, Tennessee 37771-0764

studentrecords@southernbiblecollege.net