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Brandon High School College/University ELECTRONIC Transcript Request Form (please print)

Student Name: ______Student Number: ______

Student Date of Birth: ______Graduation Year: ______Student Telephone #: ______

Student signature: ______Date:______

Electronic transcripts will be sent via the State Faster System to Public Colleges and/or Universities from list below at no charge. Check where you would like your transcripts sent from the “Electronic Transcript to /University” list below. • This transcript request form in not for hardcopy or scholarships transcripts. • You must have an active APPLICATION WITH A COLLEGE/UNIVERSITY before making a transcript request. • Test scores CANNOT be included on transcript. It is the student’s responsibility to have test scores sent through the College Board and/or ACT. • Transcripts will be sent within 24 HOURS of submission or request to Mrs. Padilla (Registrar). Student is responsible to follow up with receiving school within 48 HOURS.

Electronic Transcript to Florida College/University Place an “X” on the LEFT side of your choice. You may select more than one college/university. FLORIDA PUBLIC COLLEGE/UNIVERSITY X PUBLIC COLLEGE/UNIVERSITY X PUBLIC COLLEGE/UNIVERSITY X PUBLIC COLLEGE/UNIVERSITY Florida A & M University (1480-01) Florida Polytechnic University (9790-00) (1535-00) Florida Atlantic University (1481-00) Florida State University (1489-01) University of (9841-00) Florida Gulf Coast University (32553-00) New College of Florida (39574-00) University of (1537-00) Florida International Univ. (9653-00) University of Central Florida (3954-01) University of West Florida (3955-00)

FLORIDA PUBLIC COLLEGE/UNIVERSITY X PUBLIC COMMUNITY COLLEGE X PUBLIC COMMUNITY COLLEGE X PUBLIC COMMUNITY COLLEGE (1500-10) Hillsborough CC - Dale Mabry (7870-01)* (1513-01) (1472-01) Hillsborough CC - Plant City (7870-04)* (1514-01) College of Central Florida (1471-01) Hillsborough CC – Ybor City (7870-02)* Santa Fe State College (1519-01) (1475-01) Hillsborough CC - Southshore (7870-05)* St. Johns River State College (1523-00) Eastern Florida State College (1470-01) Indian River State College (1493-01) St. Petersburg College (1528-01) (Brevard County) Edison State College (1477-01) Lake-Sumter State College (1502-01) Seminole State College (1520-00) Florida State College (Jacksonville) (1484-10) Dade College (1506-01) South Florida State College (1522-01) (1501-01) North Florida Community College (1508- State College of Florida (1504-00) 01) Florida Keys Comm.College (1485-01) Northwest Florida State College (1510-01) Tallahassee Community College (1533-01) (1490-01) (1512-01) (6750-01) Hillsborough CC - Brandon (7870-06)* Pasco-Hernando State College (10652-01)

* Hillsborough Community College has requested that ONLY final transcripts to be sent unless you are registering for dual enrollment courses. Please do not request partial transcripts to be sent for any reason.

For Office Use ONLY Date Sent: ______Sender’s Initials: ______