MGCCC: Transfer Student Transcript Request Form

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Transfer Student Transcript Request Form

ATTENTION STUDENT:
Please print and complete this form and send it to the last school/college you attended to request an official transcript. If you have attended more than one college, send a completed form to each institution requesting an official transcript. Additionally, this form may be used to request your official GED scores/transcript.
Most institutions charge a transcript fee. We advise you to contact your school concerning the appropriate transcript fee.

TO THE REGISTRAR / COUNSELOR:
Please be sure that the student’s name and social security number are on the transcript.

I, the undersigned student, am requesting that my:
___ high school transcript
___ college transcript
___ GED scores
___ ASSET scores
___ ACT scores

be sent to (Please check one):

_____	Director of Admissions MGCCC Perkinston Campus P.O. Box 548 Perkinston, MS 39573 Phone: (601) 928-6206
_____	Director of Admissions MGCCC Jefferson Davis Campus 2226 Switzer Rd. Gulfport, MS 39507 Phone: (228) 896-2517
_____	Director of Admissions MGCCC Jackson County Campus P.O. Box 100 Gautier, MS 39553 Phone: (228) 497-7639
_____	Director of Admissions MGCCC West Harrison County Center 21500 B St. Long Beach, MS 39560 Phone: (228) 868-6057
_____	Director of Admissions MGCCC Keesler Center P.O. Box 5008 Keesler Air Force Base Biloxi, MS 39534 Phone: (228) 432-7198

_____________________________________
Full Name Under Which You Were Enrolled
_____________________________________
Current Name
_____________________________________
Social Security Number
_____________________________________
Birthdate

I understand the information on this transcript will not be released to a third party without my consent.

_____________________________________
Student’s Signature
_____________________________________
Date

Fee enclosed: [ ] Yes [ ] No

PLEASE READ CAREFULLY
NOTE TO STUDENT: Be sure you have checked the appropriate box for the campus to which you want a transcript sent. Most colleges and universities require advance payment for transcripts. Contact these institutions for the correct charge and attach payment to this request.

Official transcripts are required for admission to Mississippi Gulf Coast Community College. The transcript must come from the sending institution to Mississippi Gulf Coast Community College. Hand-carried and “student copy” transcripts are not acceptable.

Official transcripts are required from each institution attended, regardless if the credits appear on another school’s transcript.

Mail this form directly to the institution from which you are requesting a transcript.