Chabot College
Office of Admissions and Records
25555 Hesperian Boulevard
Hayward, California 94545
RUSH SERVICE
OFFICIAL TRANSCRIPT REQUEST
Under provisions of the Family Educational Rights and Privacy Act of 1974, transcripts may not be released without
the written consent of the student. The student’s signature is required.
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Date of Request: ___ ___ / ___ ___ / ___ ___ ___ ___ |
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Number of copies requested: ______ |
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Student ID or Social Security Number: _______ - _______ - ______ |
TYPE OF SERVICE: |
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RUSH ($10 per copy) |
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Name: _________________________________________________ |
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Last |
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Middle |
WHEN SHOULD TRANSCRIPT BE PROCESSED? |
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Street Address: __________________________________________ |
(PLEASE INDICATE SEMESTER.) |
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Now (current semester, not awaiting grades) |
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City, State, ZIP: __________________________________________ |
After final grades are recorded for ________________ Semester |
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After degree is recorded for _____________________ Semester |
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Telephone: _____________________________________________ |
After incompletes/grade changes are made for _____________ |
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Birthdate: ___ ___ / ___ ___ / ___ ___ ___ ___ |
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Semester |
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Special Instructions: ______________________________________ |
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Other name or alias: ______________________________________ |
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DATES OF ATTENDANCE AT CHABOT: From _________________________ (Term/Year) to _________________________ (Term/Year)
Send transcript to: (Please print complete name and address legibly.)
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Signature of student authorizing release of transcript: _________________________________________ Date: _______________
TRANSCRIPT PROCEDURES
1.RUSH SERVICE: $10 for each transcript.
Rush requests may be faxed or mailed to the Office of Admissions and Records.
Rush Transcript Request for in-person pick up must be submitted in-person only.
2.PROCESSING TIME: Rush Service request takes at least 2 working days to process.
3.MAIL SERVICE: All transcripts are sent by 1st class mail through the U.S. Postal Service. We do not provide Express/Overnight service. When mailing transcripts, we cannot assure that your transcript will reach its destination. Once the transcript leaves our college, it is the responsibility of the U.S. postal service to deliver. Lost transcripts may result in having to request and pay for additional transcripts.
4.Transcripts will not be issued until all monetary holds or obligations (Library, Financial Aid, CLPCCD District Office, etc.) are cleared.
5.All transcripts not picked up within one month of request will be shredded. No free transcripts will be issued if not picked up within one month of request.
6.Chabot College will send records of work completed at Chabot College and/or Las Positas College only. Copies of transcripts from other institutions are NOT included. Transcripts from other institutions must be ordered from original school(s).
7.If sending transcripts to different recipients, please submit a separate form for each transcript request.