Transcript Evaluation Form (VCCS)

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If you attended a VCCS College, fill out the Transcript Evaluation Form and include the VCCS College you attended. The transcript will be evaluated and processed within 5 business days.

* Indicates a required field.

Directions: If you attended a VCCS College, fill out the Transcript Evaluation Form and include the VCCS College you attended. The transcript will be evaluated and processed within 5 business days.

Student Information

Student I.D. (Empl. I.D.) *

Date of Request *

Student Name *

Program of Study *

Student Signature *

VCCS College Attended

Select all VCCS colleges whose transcripts are to be evaluated.

Check the college you attended:

Blue Ridge Mountain Empire Southwest Virginia Central Virginia New River Virginia Peninsula Mountain Gateway Northern Virginia Tidewater Eastern Shore Patrick and Henry Virginia Highlands Germanna Piedmont Virginia Virginia Western Reynolds CC Rappahannock Wytheville Brightpoint CC Southside Virginia Laurel Ridge

For Office Use Only — College Registrar Office

Registrar

Date

Processed By

Date

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