Transcript Request Form

Transcripts will not be released to any student or alumnus having a financial obligation to the College. There is a $2.00 fee for each Official Transcript processed. There is no fee for an unofficial Transcript. Photo Identification is now required when requesting a transcript.

This request may be faxed to 301-784-5027 and the processing fee can be paid by credit card with the Business Office or you may mail this form and the processing fee to Allegany College of Maryland, Attn: Lisa Wilson, 12401 Willowbrook Road, Cumberland, MD 21502. Transcripts will not be released to any student or alumnus having a financial obligation to the College. Please remember that a signature is required for the release of your record.

PLEASE COMPLETE THE FOLLOWING:

Student ID:
OR
Social Security Number:


Last Name, First Name       Middle

Address 
City          
Zip Code 

Student’s Signature ________________________

No. of Copies

Date

Maiden Name

Birth Date

Please check one of the following:
Student Copy
Official Copy

Hold for current semester final grades
Yes    No

Transcript to be sent to:

Name of Office:

School or Firm:

Address 
City          
Zip Code 

If you are requesting that your transcript be sent to a four-year college or university, please indicate when you plan to begin your studies.

Semester

Year


To be filled in by Business Office To be filled in by Registration
Clearance Granted     Yes____    No____ Date Transcript Sent __________
Fee Paid ______     Fee Due ______ Date Transcript Received ___________