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 |
