Request for Previous School Transcript

(Request(s) to be filled out by student and sent to high school and/or college.)

Previous School Information:
Name of High School/College Attended: (Note: this is where you want the request sent from)
 
 ______________________________________________________________________________
 
Street Address:  __________________________________________________________________
 
City: _________________________________ State: _________________ Zip Code: ___________

Student Information:
Student's Name: __________________________________________________________________
 
Maiden Name/Previous Name(s): _____________________________________________________
 
Social Security Number: ____________________________________________________________
 
Birth Date: ___________________________________
 
Current Address:  _________________________________________________________________
                                                                  Street Address
_______________________________________________________________________________
                         City                                                 State                                                 Zip Code
 Dates Attended: From: ________________________ To: _________________________________
 
Student's Signature: ___________________________________________ Date:  _______________

Note to Student: Call the previous school attended to see if any transcript processing fee is required with your request. Transcripts will not be sent until the fee is paid. Do NOT send cash.

Please Return the Requested Transcript to:
        Danville Area Community College
        Records Office
        2000 E. Main Street
        Danville, IL 61832
        Phone: (217) 443-8758
        Fax: (217) 443-8337


Records
DACC