 
 
1
DURHAM TECHNICAL COMMUNITY COLLEGE
REQUEST FOR TRANSCRIPT
Please complete a separate request form for each transcript copy that you want.
No transcript of a student’s record will be issued until all financial obligations to the college have been satisfied. A charge of $5.00 per official transcript will be assessed.
| Mail to: | Student Information and Records | 
|   | Durham Technical Community College | 
|   | 1637 Lawson Street | 
|   | Durham, NC 27703 | 
Name: ________________________________________________________________
LastFirstMiddle
Address: ______________________________________________________________
|   |   | Street or P.O. Box Number | 
| ___________________________________________ Phone: ___________________________ | 
| City | State | Zip | 
| Date of Birth: _________ ______ _______ | 
| Month | Day | Year | 
Student I.D. Number: __________________________
Name while enrolled (if different from above) __________________________________________________
If paying with MasterCard or Visa: Card # ______________________________________Exp. Date___________
Were you enrolled before 1988?
 
Is this transcript:
Curriculum (credit courses)
Transcript Use:
Do you want:
 
Continuing Education (non-credit)
Personal
 
Adult High School (no charge)
 
 
Official Transcript (other colleges and most employers require official transcripts)
Student transcript (no charge)
**GED Transcripts – NC Dept. of Community Colleges, 200 West Jones St., Raleigh NC 27603-1379
 
Should we:
Issue transcript now
 
Hold for term grades (end of semester)
 
Hold for degree/certificate
 
 
 
2
Do you want:
To pick up- Photo I.D. (driver’s license, etc.) is required.
Someone else to pick up transcript. If so, who? (This person must have a photo I.D. to pick up your transcript. A copy of your identification is required for a request for transcripts to be picked up by someone else.)
Print Name _____________________________________________________________________________
The college to mail transcript to the address below.
Mail to:
_____________________________________________________________________
Name
_____________________________________________________________________
_____________________________________________________________________
Address
_____________________________________________________________________
_____________________________________________________________________
CityStateZip
Signature ________________________________________________________
Date ______________________________
FOR OFFICE USE
Fee Paid ________DTCC Initials _________
| Picked up by student _______________________ | (date) | 
| Mailed as indicated above ___________________ | (date) | 
| Picked up by someone else __________________ | (date) | 
| (Attach authorization) |   | 
Please allow 1 week at the beginning and end of term for the request to be completed. No receipt confirmations are issued for mailed requests.