Transcript Request

This form is a request for your LBC Transcripts to be sent to you. There is a cost of $10 per transcript.

Name:(Required)

First Middle Last

Date of Birth:(Required)

Any other Name you may have attended under:

Email:(Required)

Years attended at LBC:(Required)

Did you graduate? If so, what degree did you earn?(Required)

Address to send the transcripts to:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I will make my payment by:

Credit (See button below)

Check (Mail to P.O. Box 91046 Louisville, KY 40291)