Eastern Iowa Community College District
Academic Transcript Request Form
Be advised that we can not send an Official Transcript directly to you.
If you need a copy for your use please request an unofficial transcript, which contains the same information. All present and former students have the necessary
user name and PIN
to access this information.
The output of this form, when submitted, is transmitted over the Internet in clear text. If you would prefer not to use such a form you may request your transcript using the instructions on the
CRIS Official Transcript Request page
.
Fields with a
*
are required.
*
Choose Your College:
Clinton Community College
(contact information)
Muscatine Community College
(contact information)
Scott Community College
(contact information)
*
Last Name:
*
First Name:
Middle Name/Initial:
Former Name(s):
Maiden Name:
*
Date of Birth:
(in the form mm/dd/yyyy)
*
Last 4 Digits of Social Security Number:
*
Address:
*
City:
*
State:
*
Zip:
*
Telephone:
(please include your area code)
Email:
*
Please list years of attendance:
(separate multiple years with commas)
*
Please send my transcript:
Now
After the indicated term:
Fall
Winterim
Spring
Summer
After my degree is posted. I expect to graduate in:
May
August
December
Of year:
Send other time:
(explain)
*
Send my transcript to:
Capella University
Iowa State University
Iowa Wesleyan College
Palmer College of Chiropractic
St. Ambrose University
University of Iowa
Trinity College
University of Northern Iowa
Upper Iowa University
Western Illinois University
Other College or University
Name of other college or university:
Department:
Address:
City:
State:
Zip Code:
PLEASE NOTE
:
Be sure to print out the next screen to have a copy of this form for your records.
