CONTINUING EDUCATION (NON-CREDIT)
JOHNSON COUNTY COMMUNITY COLLEGE
TRANSCRIPT REQUEST
Name: Last First Middle Maiden/Other Names
Student Signature Required
Are you currently enrolled at JCCC?
Yes
No
If not enrolled at JCCC, when did you last attend?
_________ Year
Fall
Spring
Summer
Special Instructions:
A. Process now, do not hold for semester grades
B. Hold for end of _________ Term grades
Check both A and B if applicable
C. Other Instructions _________________________________
________________________________________________
**COMPLETE THE FULL MAILING ADDRESS AND PRINT LEGIBLY**
Note: Student is responsible for correct address.
Send ______ no. of copies to:
_______________________________________________________________
Name of institution or person to receive transcript
_______________________________________________________________
Address
_______________________________________________________________
Address
_______________________________________________________________
City State ZIP
Send ______ no. of copies to:
_______________________________________________________________
Name of institution or person to receive transcript
_______________________________________________________________
Address
_______________________________________________________________
Address
_______________________________________________________________
City State ZIP
Send ______ no. of copies to:
_______________________________________________________________
Name of institution or person to receive transcript
_______________________________________________________________
Address
_______________________________________________________________
Address
_______________________________________________________________
City State ZIP
Send ______ no. of copies to:
_______________________________________________________________
Name of institution or person to receive transcript
_______________________________________________________________
Address
_______________________________________________________________
Address
_______________________________________________________________
City State ZIP
CONTINUING EDUCATION REGISTRATION OFFICE,
JCCC, 12345 College Blvd., Box 62, Overland Park, KS 66210
Phone: 913-469-2323 Fax: 913-469-4414
Transcripts will be issued within two weeks. ALLOW AT LEAST FOUR WEEKS FROM
THE END OF THE COURSE.
All financial obligations must be reconciled before transcripts will be released.
Student signature required before transcripts can be released.
Pursuant to Federal Law 93-380, this personal information is transferred only on the
condition that JCCC will not permit any other party to have access to such information
without the written consent of the student.
OFFICE USE ONLY
Date _____________________________________
Initial _____________________________________
Transcript Holds
Form Mailed ______________________________
Postcard Mailed ___________________________
click to sign
signature
click to edit
![]()
