DACC Transcript Request

(Form to be used if you want your DACC Academic Transcript)

Regulations Governing the Issuance of Transcripts:

  1. Because grades are confidential this release form must be completed and signed by the student only.
  2. Financial and academic obligations to the college must be satisfied.
  3. Transcript Fees (Make checks payable to DACC: (A) All transcripts that are mailed are $3.00; (B) Transcripts given to student are free
  4. Transcripts are generally sent within 24-48 hours of the request time.
  5. All transcript requests faxed must be paid through the Business Office before processing by calling 217.443.8767.
  6. Form must be filled out everytime you need a transcript.
Please Print Legibly:
 
Name: ________________________________________________________________________
                              Last                                                    First                                                                Middle
Name(s) Used When Attending DACC:  ______________________________________________
 
Social Security Number: _______________________________ Birth Date:  __________________
 
Current Address: ________________________________________________________________
 
 _____________________________________________________________________________
 
Current Phone Number:  __________________________________________________________
 
Did you attend DACC before Summer 1992?    ___YES       ___NO
 
Have you ever had a copy of your transcript given to you or had one mailed?    ___YES       ___NO
 
Student Signature:  ________________________________________ Date: __________________
 
Total number of transcript(s) requested: ________________ Fee Enclosed:  $__________________
 
 _____ Give my transcript to me (or)
 _____ Send my transcript to:
 _____________________________________________________________________________
 _____________________________________________________________________________
 _____________________________________________________________________________
 _____________________________________________________________________________
 
When should transcript(s) be sent?
 _____ Now
 _____ After semester grades are posted for the ____________ semester.
 _____ After degree has been posted for the ____________ semester.
 
Please return to DACC, Records Office, 2000 East Main Street, Danville, IL 61832
or fax to (217) 443-8337.
 
FOR DACC OFFICE USE ONLY:
This transcript was sent on:  __________________________  By: __________________________
Records
DACC