"Transcript Request Form - Chattahoochee Technical College"

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Transcript Request
STEP 1: Your Information
Name:
Student ID or SSN:
First
Middle Initial
Last
Phone Number: (
)
Date of Birth:
Area Code
Month/Day/Year
Personal Email Address: ____________________________________________________________________________
(Used to send you confirmation notices when an electronic transcript is sent to a participating receiving college or university)
(Note: Choose only one delivery option per request form)
STEP 2: Delivery Options
___ Send an electronic transcript
(Electronic submissions arrive faster. Recipients have 14 days to download the electronic transcript. If the electronic
transcript has to be resent, it will cost an additional $5.00 per submission.)
___ Mail transcript
STEP 3: Delivery destination and quantity * (Where do you want us to send your transcript?)
No.
Copies
*Important: A mailing address is required for both electronic and mail option deliveries.
_______
Name
Address
City, State, Zip Code
_______
Name
Address
City, State, Zip Code
_______
Name
Address
City, State, Zip Code
STEP 4: Processing Options – choose one option per request
____ Send immediately
____ If currently enrolled, send after grades are posted (7 days after final grades submitted)
____ If graduation has not been awarded, send after degree/diploma/certificate is posted
(Please allow 2-4 weeks after completion of graduation requirements)
STEP 5: Release Authorization Requested
Signature:
Date:
(Your signature is required for processing and delivery.)
STEP 6: Payment Procedure
Submit this form to the Registrar/Student Affairs Office on any CTC campus along with $5 non-refundable
processing fee per transcript request. Please allow up to 10 business days for processing.
By mail:
By fax:
Chattahoochee Technical College
Fax Number: 770-443-3654
Bursar’s Office
THEN call to pay with debit/credit card: 770-443-3625
980 South Cobb Drive
Marietta, GA 30060-3398
Revised 09/25/20112 Official Use: Receipt #
Amount Paid
Date
Transcript Request
STEP 1: Your Information
Name:
Student ID or SSN:
First
Middle Initial
Last
Phone Number: (
)
Date of Birth:
Area Code
Month/Day/Year
Personal Email Address: ____________________________________________________________________________
(Used to send you confirmation notices when an electronic transcript is sent to a participating receiving college or university)
(Note: Choose only one delivery option per request form)
STEP 2: Delivery Options
___ Send an electronic transcript
(Electronic submissions arrive faster. Recipients have 14 days to download the electronic transcript. If the electronic
transcript has to be resent, it will cost an additional $5.00 per submission.)
___ Mail transcript
STEP 3: Delivery destination and quantity * (Where do you want us to send your transcript?)
No.
Copies
*Important: A mailing address is required for both electronic and mail option deliveries.
_______
Name
Address
City, State, Zip Code
_______
Name
Address
City, State, Zip Code
_______
Name
Address
City, State, Zip Code
STEP 4: Processing Options – choose one option per request
____ Send immediately
____ If currently enrolled, send after grades are posted (7 days after final grades submitted)
____ If graduation has not been awarded, send after degree/diploma/certificate is posted
(Please allow 2-4 weeks after completion of graduation requirements)
STEP 5: Release Authorization Requested
Signature:
Date:
(Your signature is required for processing and delivery.)
STEP 6: Payment Procedure
Submit this form to the Registrar/Student Affairs Office on any CTC campus along with $5 non-refundable
processing fee per transcript request. Please allow up to 10 business days for processing.
By mail:
By fax:
Chattahoochee Technical College
Fax Number: 770-443-3654
Bursar’s Office
THEN call to pay with debit/credit card: 770-443-3625
980 South Cobb Drive
Marietta, GA 30060-3398
Revised 09/25/20112 Official Use: Receipt #
Amount Paid
Date