Eastern Oklahoma State College, Registrar, Transcript Request Form

EASTERN OKLAHOMA STATE COLLEGE
TRANSCRIPT REQUEST FORM

Transcripts are not issued until all debts have been paid.

SSN______-_______-_______

NAME_________________________________________ PHONE ________________________________

CURRENT ADDRESS

________________________________

SEMESTER LAST ATTENDED_______________________(Fall/Spring/Summer and Year)

NUMBER OF TRANSCRIPTS REQUESTED___________

TRANSCRIPT TO BE MAILED TO:

___________________________________

SIGNATURE______________________________

DATE______________________________

Print this request form and mail or fax to:

Eastern Oklahoma State College
Registrar's Office
Attn: Transcripts
1301 West Main
Wilburton, OK 74578
Fax: 918.465.4435

Please direct any questions to:

John Fazekas
Phone: 918.465.1828
Fax: 918.465.4435
E-Mail: jfazekas@eosc.edu