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Eagle Christian College
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Transcript Request Form Eagle Christian College Office of the Registrar 1550 Richland Road Marion, Ohio 43302 The transcript fee (subject to change) is $5 per copy and MUST accompany this request. Special handling and mailing options available at additional cost. Indicate special instructions in space provided. The student MUST sign, date and complete the student address segment in order to have this request honored. I authorize issuance of my transcript to all parties indicated on this page: Signature:______________________________________________________________
Name:________________________________________________________ Address: ____________________________________________________ ____________________________________________________ Birth Date: ____________________________________________________ I am (complete one): o Currently enrolled in Eagle Christian College o Not enrolled; last enrollment ________ Qtr./Yr Send Transcript (s): o _________ qtr/yr’s grades. o Corrected grade of____________ in course name/no.___________ in_________________________ qtr/yr. Indicate special processing instructions here:
Send _____ (quantity) to:
Send _____ (quantity) to:
Send _____ (quantity) to:
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