Transcript Request Form
Please allow 5-7 business days to receive transcript
STECH Student ID#
Year(s) of Enrollment
*
Course/Program(s) of Study
Legal Name
*
First Name
Last Name
Former/Maiden Name (if applicable)
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Last 4 of SSN
*
For student ID verification only
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Personal Email
*
example@example.com
Delivery Method
*
Pick Up (Photo ID Required)
Mail to
Transcript will be picked up by:
Student/Self
Other (Please list full name.)
Full name of party picking up transcript (If other)
FERPA form MUST be on file
Mailing Address:
Name/Institution Name
Street Address
City
State / Province
Postal / Zip Code
I hereby authorize the release of my transcript as requested above:
Submit
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