Transcript Request Form

Southeastern Business College

Transcript Request Form

Please fill in the transcript request form, then print the form and sign your name at the place indicated. Mail the form, along with your check or money order, to the main campus: Samuel Stephen College, 1410 Industrial Drive, Chillicothe, Ohio, 45601. An official transcript will be mailed to you. Within 10-14 business days, $3.00 fee; within 1-2 business days, $10.00 fee.

TRANSCRIPT REQUEST FORM

First Name
Middle Name
Last Name
Name at the time of Attendance
Did you graduate?
Year you graduated
Or, Last Year of Attendance
Campus Attended
Social Security Number
Date of Birth
Send Transcript To:
1-2 day processing - $10.00
10-14 day processing - $3.00
Student Signature:
Today's Date:

PRINT THIS FORM SO YOU CAN SIGN AND MAIL IT. ONLY PRINTED AND SIGNED FORMS CAN BE ACCEPTED AS LEGITIMATE TRANSCRIPT REQUESTS.

Information @Samuel Stephen College

Information @Southeastern Business College

Registration Number - 1054B