WNEC Transcript Request Form collegelogo.gif Student Administrative Services (SAS) Office
Office # (413) 796-2080
FAX # (413) 796-2081
Western New England College
1215 Wilbraham Road
Springfield, MA 01119

Please complete this request form by legibly printing in the appropriate spaces. 


A transcript is the official record of all coursework, grades and degrees conferred at the Western New England College. Academic transcripts are ordered through the Student Administrative Service Office (SAS). There is no charge for the transcript service.
Federal law requires that we receive the student's written signature on all transcript requests. Therefore, we are unable to accept transcript requests over the telephone or by email. Transcripts will not be issued to students with outstanding financial obligations to the College. For security reasons, transcripts cannot be faxed from the SAS office. Requests can be submitted in person, by mail or by faxing SAS at (413) 796-2081.

I hereby authorize Western New England College to release my academic transcript to the name and address below (**) :

SIGNATURE REQUIRED
______________________________________________________________
Requestor's Signature		 ___________________
Date

Social Security Number: ___ ___ ___ - ___ ___ - ___ ___ ___ ___

Birth Date: ___ ___ / ___ ___ /___ ___ ___ ___ * Required


Name_________________________________________________________________

Any other Name(s) used while attending WNEC? _____________________________________________________

Telephone Number ________________________________

Address_____________________________________________ City ________________________ State   _____   Zip _________

Semester ______________  and Year ___________ that you last attended Western New England College. Degree(s)/Date(s) received ___________________.

Currently attending Western New England College? [   ] Yes [   ] No 

If currently enrolled, do you want this request held until the end of the semester - after final grades are posted? [   ] Yes [   ] No

If currently enrolled, do you want this request held until the end of the semester - after degree is posted? [   ] Yes [   ] No

Purpose for Requesting Transcript: (check more than one if appropriate)

[  ] Considering Transfer

[  ] Graduate or Professional School

[  ] Summer School Enrollment

[  ] Grants and Scholarships

[  ] Employment

[  ] Study Abroad

[  ] Other ______________________________________

Total number of copies to be sent:  ______  Number to each recipient:  ______

Are there any additional requests? [   ] Yes [   ] No  (Additional addresses may be listed on another sheet and attached to this request.)


** SEND TRANSCRIPT TO:

Name_________________________________________________________________________________________

Address_________________________________ City ________________________ State  _____   Zip  _________

SAS Office use only:

WNEC Transcript Was:

Mailed Out On (Date):____________ By (Initials):_____________

WNEC/001/lmc (September 16, 2008) - WNEC On-line Transcript Request Form