OFFICIAL TRANSCRIPT REQUEST

Please allow 3-5 business days for processing. WE DO NOT FAX OR EMAIL TRANSCRIPTS. Request cannot be processed if required information is not provided. ONLY ONE REQUEST PER FORM. For those schools that participate in the FASTER/SPEEDY system (most Florida schools), transcripts will be sent via that system for free. Transcripts for other schools will be mailed or can be sent electronically via Parchment services for a fee.

For a $3 fee, you can send your transcript through Parchment (third-party service) electronically.

Click here to be directed to the Parchment website

Personal Information

First Name:

Middle Name:

Last Name:

Former/Maiden Name:

Name while attending Chipola if different

Contact Email:

Contact Phone Number:

Student ID Number:

(If known)

Social Security Number:

Must include dashes like XXX-XX-XXXX

Date of Birth:

Must be mm/dd/yyyy format

When do you want your transcript sent or printed for pickup?

How would you like the transcript sent?

For pickups, must show ID

Choose the Institution Name:

If the Institution is not listed,

choose "SCHOOL NOT LISTED"

NOTICE: This school participates in the FASTER or SPEEDY service so your transcript will be sent ELECTRONICALLY through one of these services for free.

NOTICE: Your transcript will be mailed to the institution. If you would like your transcript to be sent electronically, you can use Parchment (third-party) via the link at the top of this form for a $3 fee.

Number of copies to send:

Please allow the following person to pick up my transcript:

Name/Company

Mailing Address

Address Line 1:

If self mailing, put your name here. If sending to an institution or business, put that name here.

Address Line 2:

This line can be used as ATTENTION

City:

State:

Zip:

I understand that by submitting this form I acknowledge that the information provided is accurate and complete to the best of my knowledge. I also understand that this request will not be processed if this form is incomplete or if I have a financial hold with the college.