Code::210116. IF ON campus: •. Get this form signed from G-16,Submit Fee in F- 13, Attach Receipt, Submit the form in. G-04, Collect transcript(s) from G-05. ELSE. •. Download , fill and send the form with payment proof to GIKI. Transcript Request Fo
Revised November 2014 TRANSCRIPT REQUEST FORM 80 Vandenburgh Ave, Troy, NY 12180 (518) 629-4574 www.hvcc.edu Submission: Submit this form to the Registrar’s Office
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section and doesn’t include the time they spend Description of the Examination The CLEP ® Spanish Language examination is designed to measure knowledge and ability
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College-Level Examination Program Transcript Request Form
®
Use this form to request a transcript if you did not indicate a score recipient institution at the time of testing or if you need to send your scores to more than one score recipient. Indicate which exam(s) you want to appear on your transcript. Please note that CLEP® keeps scores on file for 20 years. Once your request form has been received, please allow two business days for internal processing and up to 10 business days for mailing.
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Note: Military personnel (in active duty or retired) should call 877-471-9860 (toll free) or 443-751-4316 to request a military transcript, or visit clep.collegeboard.org/military to download a transcript request form. There is a fee of $30 for each military transcript.
PLEASE PROVIDE ALL THE INFORMATION REQUESTED ON THIS FORM. PLEASE PRINT. Name at the time of testing (last name, first name, middle initial) Current name, if different from above (last name, first name, middle initial) Last 4 digits of SS# Current address: number, street and apartment Address: number, street and apartment at time of testing City
State/Province
ZIP
Daytime telephone number (include area code)
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Country
Email address
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This is a mandatory field. If you fail to include your date of birth, the transcript request form will not be processed. Date of birth (month/day/year) ❏ American Government ❏ American Literature ❏ Analyzing and Interpreting Literature ❏ Biology ❏ Calculus ❏ Chemistry ❏ College Algebra ❏ College Composition ❏ College Composition Modular ❏ College Mathematics ❏ English Literature ❏ Financial Accounting ❏ French Language
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German Language History of the United States I: Early Colonization to 1877
❏ History of the United States II: 1865 to the Present ❏ Human Growth and Development ❏ Humanities ❏ Information Systems ❏ Introduction to Educational Psychology ❏ Introductory Business Law ❏ Introductory Psychology ❏ Introductory Sociology ❏ Natural Sciences ❏ Precalculus
❏ Send only exam scores of 50 or above (for computer-based exams).
❏ Send all scores.
Principles of Macroeconomics Principles of Management Principles of Marketing Principles of Microeconomics Social Sciences and History Spanish Language Western Civilization I: Ancient Near East to 1648 Western Civilization II: 1648 to the Present Other English Composition (Retired) English Composition w/Essay (Retired) Freshman College Composition (Retired)
❏ Official candidate copy only
CLEP TRANSCRIPT RECIPIENT *IMPORTANT! PLEASE READ: Visit collegeboard.org/clepcolleges to search for your institution. Please enter mailing information according to what is listed in the CLEP Colleges listing. Transcripts cannot be mailed to alternate addresses of institutions available in the CLEP Colleges listing. Score Recipient
College code #*
Person at the institution to whom transcript should be sent (if known) Address of institution where CLEP transcript should be sent
PAYMENT INFORMATION There is a fee of $20 for each transcript. _____________ Visa, MasterCard, American Express, Discover, JCB _____________ Debit card (Visa or MasterCard) Credit or debit card number: _________________________________________________ Expiration Date: ________________ I authorize CLEP to release my scores to the institution designated above. Signature
