TRANSCRIPT REQUEST FORM

Please send this form to
high schools, colleges, and universities
previously attended.

Office of the Registrar

Please send a copy of my official transcript to:

MIDLANDS TECHNICAL COLLEGE
OFFICE OF ADMISSIONS
PO BOX 2408
COLUMBIA SC 29202

PLEASE PRINT

Name:_____________________________________________________________________
                             Last                                   First                                    Middle

Name of high school/college/university attended:__________________________

Dates attended:___________________________________________________________ Social Security Number/SID: _____-_____-_____ Date of Birth:____/____/____ Name while enrolled:______________________________________________________ Current Address:__________________________________________________________ City: ______________________________ State: ____________ Zip:_____________ Phone Number: (____)____-________ If there is a fee, please bill me at the above address. It is important that the transcript be sent as soon as possible. Signature:______________________________

FOR POST SECONDARY INSTITUTIONS

MTC uses SPEEDE (TS130 Transaction Set) to generate and receive transcripts electronically. We are in the process of expanding our list of trading partners. If you are interested in becoming one of our trading partners, please call (803) 738-7888.


PO Box 2408 | Columbia | South Carolina | 29202 | (803)738-1400
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