Transcript Request Form

MAIN CAMPUS 21 Campus Circle l Murphy, NC 28906 l 828-837-6810

GRAHAM COUNTY CENTER 145 Moose Branch Road l Robbinsville, NC 28771 l 828-479-9256
CENTER FOR APPLIED TECHNOLOGY 2415 Airport Road l Marble, NC 28905 l 828-835-9564 www.tricountycc.edu
Ramirez Jaime Luis A.
Name: ________________________________________________________________________________________________
Last First M.I.

Previous Name (If applicable):______________________________ Social Security Number: ____________________________________

293 Birchwood Circle Murphy 28906
Current Mailing Address:______________________________________________________________________________________
Address City Zip
828-557-3846
Daytime Phone Number: __________________________________________ 3-3-2025
Date of Request: _____________________________

aaaaStudent’s Signature (REQUIRED):_____________________________________________

CURRICULUM CONTINUING EDUCATION

Attention: Attention:
Emily Burch ssistant e istrar lly ar n urriculum ec r s an ep rts pecialist
h ne a h ne a
transcripts tric untycc e u mh ar tric untycc e u

q Curriculum Transcript q Continuing Education Transcript

*Curriculum courses are taken for college credit. *Continuing Education courses are short-term, non-credit offerings
designed to provide education and training to gain new and/or
upgrade current job-related skills.
May 2022
Most recent semester enrolled:_________________
1 # of official copies
____ # of personal copies ____ ____ # of personal copies ____ # of official copies
Include Placement Test Scores q yes q no
q Send now q Send now
q End of semester
q Pick up ** q Pick up **
q Fax or Email (unofficial) q Fax or Email (unofficial)
[email protected]
_______________________________ ___________________________________
Fax Number or Email Address Fax Number or Email Address
IMPORTANT
_______________________________ ___________________________________
Attention: Attention:

q Please mail to: q Please mail to:

_______________________________ ___________________________________
Person/Title Person/Title
_______________________________ ___________________________________
Organization Organization
_______________________________ ___________________________________
Address Address
_______________________________ ___________________________________
City, State, Zip City, State, Zip

CURRICULUM FEE POLICY CONTINUING EDUCATION FEE POLICY

Unofficial Transcripts: $5.00 Unofficial Transcripts: $5.00
Official Transcripts: $5.00 Official Transcripts: $5.00
**Written permission must be provided if the transcript is to be picked up by someone other than the TCCC student.
I give permission for _______________________ to pick up my transcript.
GED Students Please Note: In accord with Federal regulations all GED transcripts can only be obtained at: www.gedtestingservice.com

Transcript Fees and Payment Options:

$5.00 per transcript (official or unofficial copies)
1) Attach check or Money Order payable to Tri-County Community College or 2) Pay in person at the Business Office: 21 Campus Circle, Murphy, NC 28906 3) Pay online (CLICK HERE)
Revised 2.19.25