To request an official transcript via fax, print the form below, fill out the information and fax ( 903. 693. 2031) along with a copy of a photo ID that bears your signature (drivers license, school ID) to:
Panola
College
FAX - (903) 693-2031
(Please Print)
_____________________________________________________________
Last
Name, First Name, Middle
Initial
_____________________________________________________________
Street
Address
_____________________________________________________________
City,
State, Zip
| ____-___-______ | _____ / ____ / ______ | (____)____________ |
| Social Security No. | Date of Birth | Day Phone Number |
| ____________________________________ Previous Name(s) Enrolled Under |
____________________________ Last Date Attended Panola College |
____ Number
of Copies
Requested
____ Mail Transcript to Address Below
____ Mail After Grades are Posted
(check one below)
| Fall | Spring |
|
Summer I |
Summer II |
| Mail Transcript to:
|
| ______________________________________________________ Name |
| ______________________________________________________ Address |
| ______________________________________________________ City, State, Zip |
|
______________________________________________________ |