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GED Transcript Request Form (No Fee)

(Print, fill out and sign this form)

Date: _____________________

First name: _____________________________________________________

Middle initial: ______

Last name: _____________________________________________________

Former name, if applicable: _______________________________________

Current address: _____________________________________________________________

City: _________________________

State: ________________________

Zip code: __________________   Social Security Number:  ______ - _______ - ____________

Birthdate: ______________________

Student MCC ID number:  ____________________________

Telephone number:  ________________________________

Student signature required: _________________________________________

Please allow five to seven business days for processing.

Any transcript mailed to a student's address will be unofficial student copy.
Do not abbreviate college names.

If you have an outstanding balance at the Metropolitan Community College, please take care of it as soon as possible. Complete, print, sign and mail or fax this request form to the address or fax number listed below.

Send to: __________________________________________________

Attn: _____________________________________________________

Mailing address: ________________________________________________________________

City: ______________________________________

State: ______________________________

Zip code: ___________________________

I would like my transcript:
Sent now (yes or no) _________________

Held for current term's grades:

Fall _____ Winter ______ Spring _____ Summer _______

Held until degree/certificate is conferred

MCC Express
3002 South 24th Street
Omaha, NE 68108
Fax: 402-403-0647
Phone: 531-MCC-4060