College Credit Plus Transcript Request Form Office of the University Registrar 1 University Chubb Hall Athens OH 45701-2979 Fax 740.593.4184 [email protected]

Current and former students, who attended prior to completing high school, may have an official transcript sent at no charge to another institution only if the intent of the transcript request is to satisfy admission or course requisites for the receiving institution’s College Credit Plus program. Students applying for admission as a regular student to a college or university must visit https://www.ohio.edu/registrar/transcripts to request and pay for official transcripts.

By checking this box, you are confirming the purpose of the transcript request is to satisfy admission or course requisites for the receiving institution’s College Credit Plus Program.

Student’s Name: ______

Address: ______

City, State & Zip: ______

Contact Phone: ______

High School: ______Grade Level: ______

Ohio University Email Address: ______PID: ______

Student’s Signature: ______Date: ______

Some institutions in the State of Ohio can receive electronic transcripts. If you are seeking to have your transcript sent to an Ohio college or university (for College Credit Plus purposes only), please write the code in here: ______(see institution codes listed on page 2)

Required only if sending your transcript to a college or university not listed on page 2:

Recipient Name: ______

Mailing Address: ______

______

City: ______

State: ______Zip Code: ______

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INSTITUTION NAME INST CODE 0000038834 Bowling Green State University (All Campuses) 0000038959 Central Ohio Technical College 0000039246 0000039250 Cincinnati State Technical and Community College 0000039328 Clark State Community College 0000039355 Cleveland State University 0000039379 Columbus State Community College 0000039525 Cuyahoga Community College (All Campuses) 0000039670 Eastern Gateway Community College 0000040788 Edison State Community College 0000039916 0000040486 James A Rhodes State College 0000040773 (All Campuses) 0000040902 Lakeland Community College 0000040989 Lorain County Community College 0000041139 0000041251 (All Campuses) 0000041413 North Central State College 0000041835 Northwest State Community College 0000041913 (All Campuses) 0000041975 Toledo (All Campuses) 0000042041 Rio Grande Community College 0000043437 0000042580 Sinclair Community College 0000042614 Southern State Community College 0000042725 Stark State Community College 0000042886 Terra State Community College 0000043020 0000043543 0000043271 0000043492 Washington State Community College 0000043692 Dayton 0000043898 Youngstown State University 0000043939 0000043942

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