CACC Transcript Request Form

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We are happy to mail or email a copy of your CACC transcript directly to the college/university that you indicate on this form. Please note that we can also email or mail a copy of your transcript to you but it will not be considered an official copy. Please call (269) 968-2271 during school hours if you have any questions. Thank you!
*Please allow at least 5 business days for your transcript to be sent

Email *

Student/Graduate's Name (Last, First) Please list your name as it was when you attended CACC (for example, your maiden name) *

Please list the program you attend/attended at CACC *

What years were you in attendance at CACC? *

Phone number where we can reach you if needed *

Date of Birth *

YYYY

Indicate the full name of the university/college to receive your official CACC transcript *

List the address where the transcript is to be mailed OR an email address if your university/college allows this *

Do you have any specific instructions?

A copy of your responses will be emailed to the address you provided.

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