REQUEST FOR TRANSCRIPT
Please complete the form below.

*(NOTE) If you would like to send your transcript electronically, click here to complete a transcript request through Clearinghouse.

Personal Information:

First Name:

Last Name:

Middle Initial:

Maiden Name: (if applies)

Date of Birth:

Mobile Phone:

Email Address:

EACC Information:

Request Transcript for:

Last Semester/Year Attended:

EACC ID Number:

or Social Security Number:

Method of Delivery:

*

If you would like to send your transcript electronically, click here to complete a transcript request through Clearinghouse.

(1.) Mail To:

School:

Attention:

Address:

City:

State:

Zip Code:

Special Instructions:

Number of Copies:

Hold for Semester Grade:

Alternate Pick Up Person First and Last Name:

(First and last name must match picture ID.)

Family Educational Rights and Privacy ACT of 1974 Section 438B.

Personal information shall only be transferred to a third party on the condition that such party will not permit any other party to have access to the information without the written consent on the student. Details of the act are displayed in the administration building of East Arkansas Community College and may be reviewed at any time.

** Once submitted, please allow up to 4 business days to process your request.

By typing your name below and clicking on “I Agree” below, the signer recognizes and agrees that he/she is and shall be personally responsible for and liable of this Transcript Request.

Name: