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Transcript Request

This form requires a signature and cannot be transmitted electronically. Please complete the application, print, sign, and return to the address below. Requests may also be faxed. If you need assistance please contact the VHCC Office of Admissions. 

 
**  Social Security Number is required before a transcript request will be granted.
Name:
SSN: ** (000-00-0000) Required
Mailing Address:  
City: State:         Zip:
Phone: (111)222-3333
Maiden/Former Name:
Transcripts should be sent:
Dates of Attendance:

From: To:

Are you currently enrolled?
Send Transcripts to:
Person or Department:
Institution/Firm :
Address:
City: State:   Zip:
Today's Date:
 

Before clicking next, please check to make sure the information you entered above is correct.  Make any necessary changes before clicking the "Next" button.  Once the form appears on the screen, print it, sign it and send it to the address listed on the form or fax it.

Office of Admissions
P. O. Box 828
Abingdon, VA 24212-0828
Fax: 276-739-2591