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The document is a Transcript Request Form for Tri-County Community College, allowing students to request official or unofficial transcripts for curriculum or continuing education courses. It includes sections for personal information, contact details, and options for receiving the transcripts, along with associated fees. The form also specifies the need for written permission if someone other than the student is picking up the transcript.

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luis.poptart
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0% found this document useful (0 votes)
19 views1 page

Print

The document is a Transcript Request Form for Tri-County Community College, allowing students to request official or unofficial transcripts for curriculum or continuing education courses. It includes sections for personal information, contact details, and options for receiving the transcripts, along with associated fees. The form also specifies the need for written permission if someone other than the student is picking up the transcript.

Uploaded by

luis.poptart
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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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

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