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ALMC Transcripts
Transcript Request
1. Print this form
2. Complete in its entirety
3. Sign this form
4. FAX to DSN 539-4240 or 804-765-4240 or mail to:
ALMC
ATTN ATSZ ASO R
2401 QUARTERS ROAD
FORT LEE VA 23801-1705
The following individuals in the ALMC Registrar’s Office are responsible for processing transcript requests:
| Last
name starts with A-F |
804-765-4149 |
DSN 539-4149 |
| Last
name starts with G-L |
804-765-4152 |
DSN 539-4152 |
| Last name starts with M-R |
804-765-4149 |
DSN 539-4149 |
| Last
name starts with S-Z |
804-765-4122 |
DSN 539-4122 |
See Below for Privacy Act Information
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(Date)
I have contacted the college or university listed below and they will consider granting credit for the following ALMC courses.
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Dates Attended |
Mode* |
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*Please indicate Resident, AOCI, SEN, Onsite, Contract, or Correspondence. If AOCI, SEN, Contract, or Onsite, please give location. If Onsite/Correspondence combination, please send copy of diploma.
In accordance with the Privacy Act of 1974, I authorize the release of my academic records to:
| COLLEGE/AGENCY ADDRESS |
PERSONAL COPY ADDRESS |
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__________________________________________________
Name
___________________________________________________
SSN
___________________________________________________
Signature
___________________________________________________
DSN Number
Ft LEE FORM 402
Oct 2005
DATA REQUIRED BY PRIVACY ACT OF 1974:
1. Authority: Executive Order 9397.
2. Principal Purpose: Used as Student identification number.
3. Route Use: SSN is used to access and locate student record files.
4. Mandatory or voluntary disclosure and effect on individual not providing information: If SSN is not provided, transcript will not be issued.
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