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Transcript Request Form
Institution
*
Holy Family College (formerly known as Silver Lake College)
Mount Senario College
First Name
*
Middle Name/Middle Initial
Last Name
*
Other Name(s) (Birth/Married)
Date of Birth
*
Month
Month
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Year
Year
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2010
2011
2012
2013
Social Security Number (last 4 digits)
*
000-00-
If you do not have a SSN, please enter "0000".
Dates of attendance
Please note approximate dates of attendance or graduation (e.g. "Fall 2004-Spring 2008" or "Graduated in Spring 1998").
Current Address - Number and Street
Current Address - City
Current Address - State
Current Address - ZIP
Daytime Telephone
*
Email Address
*
Number of OFFICIAL Transcripts Requested ($10 Each)
Official transcripts bear the seal of the college; ***CANNOT be mailed to student.*** Provide mailing addresses below.
Mailing Address(es) for OFFICIAL Transcripts
Note the purpose of the transcript request (job application, college application, other) and provide the mailing address (name, street address, city, state, and ZIP).
Number of UNOFFICIAL Transcripts Requested ($10 Each)
Unofficial transcripts are marked "Issued to Student"; do not bear the seal of the college; can be mailed to student).
Mailing Address(es) for UNOFFICIAL Transcripts
Note purpose of transcript request (job application, college application, other) and provide the address (name, street address, city, state, and ZIP) OR note "mail to me."
Payment Options
Check or money order made payable to WAICU
PayPal
Checks or money orders may be made payable to "WAICU" and mailed to: Wisconsin Association of Independent Colleges and Universities (WAICU), Attn: Transcripts, 122 W. Washington Ave, Suite 700, Madison, WI 53703-2723 Please note the name of the student or graduate in the memo field.
Name on PayPal Account (If Applicable)
Date Paid on PayPal (If Applicable)
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
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Year
Year
2023
E-Signature (Type Name)
*
Authorization
*
I authorize WAICU to release my transcript.
Leave this field blank