Merced College Transcript Request Form

Please send check or money order to Merced College

Merced College Admissions & Records
Transcript Requests
3600 M Street
Merced CA 95348

______________________________________________________________________
Last Name             First           Middle             Maiden/Former (all other last names)

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Address

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City                                       State                                 Zip

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Soc.Sec. No.                             D.O.B.                      Telephone

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APPLICANT'S SIGNATURE                                          Date

______________________________________________________________________ Visa/MasterCard #                                          Expiration Date

Address to send transcript to:

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_____ Number of Transcripts Needed 
          (First two ever are free; thereafter $5.00 each)

 [  ]  Hold until after final grades are posted for current semester
 [  ]  Provide GE Certification (for CSU's in California only)
 [  ]  Provide GE Reciprocity Certification 
       (For Modesto, Columbia & San Joaquin Delta College only)
 [  ]  Provide IGETC Certification 
       (for UC's in California only 1 requires official HS Transcripts)
 [  ]  Priority Processing Requested (Additional $10.00 fee)
       [  ]  Next Day Mail - regular mail (for priority processing only)
       [  ]  Next Day - Pick Up (for priority processing only)

For additional information call (209) 384-6193; Fax (209) 384-6339. Regular processing requires 5 to 10 working days, from the date in which the transcript request was received.

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