Illinois Eastern Community Colleges - Request for Transcript
Frontier Comm College
2 Frontier Drive-Fairfield, IL 62837
618/842-3711
 Lincoln Trail College
11220 State Highway 1-Robinson, IL 62454
618/544-8657
 Olney Central College
305 North West Street-Olney, IL 62450
618/395-7777
 		Wabash Valley College
2200 College Drive-Mt. Carmel, IL 62863
618/262-8641
 		IECC Work Force Ed % Sibyl Janello
700 Logan College Drive Carterville, IL 62918
618/985-3741 ext:8371
POLICIES:
1. Transcripts will only be issued at the written request of the student.
2. Transcripts will not be sent for students who owe debts to the college(s)
3. Cost per transcript - $5.00. Transcript fees must be paid at the business office or records office before a transcript will be issued.
4. Transcripts issued to students or mailed to a home residence are unofficial and will be stamped, "Unofficial - Issued to Student".
5. Official transcripts will include your Social Security Number
6. Transcripts will reflect all courses taken through Illinois Eastern Community Colleges.
7. A separate form must be completed for each transcript requested.
To request a transcript: Print and complete this form. Mail or take the completed and signed form and payment to the Records Office at the IECC campus you most recently attended.

NAME OF STUDENT

_____________________________
Last

_____________________________
First

___________________
Previous Other Last Name(s)

SOCIAL SECURITY NUMBER

_____________________________

BIRTH DATE _____________________________

CURRENT ADDRESS

_________________________________________________________________________
Street

_____________________________
City

__________________
State

___________________
Zip Code

PHONE NUMBER

(_________)__________________________

EMAIL ADDRESS

 ____________________________________________

SEND TRANSCRIPT TO

_________________________________________________________________________
Business/College Name

_________________________________________________________________________
Address

_____________________________
City

_____ _________
State / Country

___________________
Zip Code

TYPE OF TRANSCRIPT

_____ Official

_____ Unofficial

CURRENTLY ATTENDING
or LAST ATTENDED

_____ FCC

_____ Year

Graduated ?

_____ Yes

_____ No

_____ LTC

_____ Year

Graduated ?

_____ Yes

_____ No

_____ OCC

_____ Year

Graduated ?

_____ Yes

_____ No

_____ WVC

_____ Year

Graduated ?

_____ Yes

_____ No

If you first attended Summer of 1998 or later and plan to transfer, do you want your transcript evaluated to meet GECC (General Education Core Curriculum) requirements? _____ YesXXXX _____ No

The transcript will be issued unless you indicate below that you want it held for current semester grades and/or new degree.
_____ Hold for Current Semester Grades _____ Hold for Posting Degree Information

Have you taken classes at IECC prior to 1973? _____ YesXXXX _____ No

To fax this request and pay by credit card complete the information below and fax to the appropriate college:
FCC: 618-842-3412 - LTC: 618-544-4705 - OCC: 618-395-1261 - WVC: 618-262-8647 - Workforce: 618-985-2828 ext 8224

For Office Use Only

Date Transcript Sent/Picked Up

________________________

Issued By

________________________

Official _____    Unofficial _____

Reason Withheld

________________________

                                                                                     


___________________________________________
Student Signature


___________________
Date of Request

                  

Credit Card #                                                                            Expiration        /        MasterCard __ or VISA__

Name on Card