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St.
Petersburg
College
Central
Records
P.O.
Box
33089
TRANSCRIPT
REQUEST
St.
Petersburg,
FL
33733
REQUEST
FOR
HIGH
SCHOOL
OR
COLLEGE
TRANSCRIPT
STUDENT:
Please
send
a
completed
form
directly
to
each
high
school
and
college
previously
attended.
SCHOOL:
Please
attach
this
form
to
the
official
transcript
and
mail
to
the
address
above.
Permission
is
hereby
granted
for
the
release
of
my
transcript
to
St.
Petersburg
College.
Please
print
or
type
Name:_____________________________________________________________________________________________
Last
First
Middle
Address:___________________________________________________________________________________________
Street
City
State
ZIP
code
I
attended
high
school/
college
under
the
name(s):
Years
attended
Birth
date
(optional)
Social
Security
number
Year
graduated
Name
of
high
school/college:
City/State:
Regulation
requires
the
students
signature
to
release
a
transcript.
I
acknowledge
by
my
signature
I
understand
the
college
is
collecting
my
Social
Security
number
for
the
purpose
of
complying
with
federal
and
state
statutes
related
to
employment,
financial
and
academic
assistance,
and
inter-institutional
articulation
or
transfer,
and
that
the
college
may
disseminate
that
information
in
some
communications
with
outside
organizations,
while
taking
precaution
to
safeguard
use
of
the
number.
I
also
understand
that
should
I
choose
not
to
have
my
Social
Security
number
transmitted
to
the
Internal
Revenue
Service
(IRS)
in
response
to
Hope/Lifetime
Learning
Tax
Credit
reporting,
I
face
the
possibility
of
a
fine
of
$50.
Students signature Date
St.
Petersburg
College
is
dedicated
to
the
concept
of
equal
opportunity.
The
college
will
not
discriminate
on
the
basis
of
race,
color,
religion,
sex,
age,
national
origin,
marital
status,
or
against
any
qualified
individual
with
disabilities,
in
its
employment
practices
or
in
the
admission
and
treatment
of
students.
Recognizing
that
sexual
harassment
constitutes
discrimination
on
the
basis
of
sex
and
violates
this
rule,
the
college
will
not
tolerate
such
conduct.
Should
you
experience
such
behavior,
please
contact
the
director
of
EA/EO
at
727-341-3261;
by
mail
at
PO
Box
13489,
St.
Petersburg,
FL
33733-3489;
or
by
e-mail
at
eaeo_director@spcollege.edu