Name of Organization
Unit
Address
Telephone Number

OFFICIAL TRANSCRIPT

 
Name and Address of Student Date of Birth: ______/______/______
Social Security Number  _____-_____-_____
(or Student ID#)


(Include any other information appropriate to organization: i.e., department, work location)
 
Title of Learning Experience Grade Length of Instruction Dates of Attendance Recommended Credit in Semester Hours*
 

 

 

        

*This credit recommendation is based on an evaluation by the New York Regents National Program on Noncollegiate Sponsored Instruction www.nationalponsi.org.To verify the recommended credit indicated above, and read a description of the learning experience(s), consult National PONSI's Directory of college credit recommendations, CCR Online, at www.nationalponsi.org/ccr/ccr_online_listings.htm.

  Legend (Example):
  A = 90% - 100%  
  B =  80% - 89% 
  C =  70% - 79%
  Pass = ≥ 70%

This transcript is not official without a stamp.

Signature:______________________________
Director of Training
(or other official)
(Affix organization's stamp or seal)

Name:_________________________________
(typed)
Date:__________________________________