Print a copy of this form, complete it and mail it or fax it to:
- Registrar
- Hesston College
- Box 3000
- Hesston, KS 67062
- Fax: 620-327-8300
Student's full name:
Name used at Hesston College (if different from above):
Social Security Number (or student number or date of birth):
Dates of attendance at Hesston College:
Current mailing address:
Home and/or mobile phone:
Student's Signature:
Payment (check one):
- Cash, check or money order enclosed. Amount:
- Cash, check or money order will follow in the mail
- Charge to credit card (circle one): Visa MasterCard Discover
- Name
- Card Number
- Expiration Date
Complete address(es) to which the transcript should be sent:
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