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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 |
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1637 Lawson Street |
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Durham, NC 27703 |
Name: ________________________________________________________________
LastFirstMiddle
Address: ______________________________________________________________
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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
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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) |
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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.