Welcome to Admissions
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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:______________________________

 


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