ADULT BASIC EDUCATION
Telephone (541) 504-2950
FAX (541) 504-2959
2030 SE College Loop, Redmond, Oregon 97756
*Transcript Request*
Date of this request:
To obtain a copy of your Central Oregon Community College transcript, please provide the information below and enclose the proper payment.
*$5 for the first transcript requested and $1 for each additional transcript ordered at the same time.
(COCC reserves the right to withhold transcripts from students who are in debt to the institution.)
Transcript requests must be in writing with student’s signature.
Student’s Name
Student’s Signature
Address
City, State, Zip
SSN
Date of Birth
Official (sealed) (number needed)
Unofficial (number needed)
Send to:
(name and address of school or college)
Please return to address above with proper payment and your transcript(s) will be sent.
________________________________________________________________________________
Payment method: (amount) Visa/MasterCard #
(* $5 first one, $1 each additional) Cash/amount Exp. Date
Check/amount Account: GABE
Received by COCC: Date: