_______________________________________________________________
CCC&TI Transcript Request
Dear Student
To Request a transcript from Caldwell Community College & Technical Institute, please complete this form and mail to:
Caldwell Community College & Technical Institute
2855 Hickory Boulevard
Hudson, NC 28638
Or you can fax it to (828) 726-2709.
If you have any questions or need additional information, please contact Connie Wilson at cwilson@cccti.edu or call (828) 726-2720.
All financial obligations to the college must be cleared before any transcript will be released. It is recommended that at least one week be
allowed for the processing and mailing time of transcripts. Every effort is made to process transcripts in a timely manner.
CCC&TI does not charge a processing fee for transcript requests.
Student Information
Name________________________________________________________ Student ID# or SSN # ____________________________
Last First Middle
Other Names You May Have Used ___________________________________________ Date of Birth _________________________
Address _________________________________________________ City ______________ State ________ Zip ____________
Contact Telephone Number (Required)
Home Phone # ____________________ Business Phone # ____________________ Cell Phone #____________________
Transcripts
College Continuing Education
Adult High School (Year graduated from CCC&TI ________)
Note: DiplomaSender will fulfill all North Carolina High
Student Copy (No. of copies _____________)
School Equivalency (HSE) records (GED, HiSET and TASC)
Unofficial transcripts are available through WebAdvisor.
records requests at this location: www.diplomasender.com
CCC&TI does not maintain these records.
Official Copy (No. of copies _____________)
Records
Medical/Immunization (Health Science Students (Only) CPT Scores Other:_________________________________
Method of Transcript Delivery
To be picked up (Photo ID Required) Pick up on Caldwell Campus Pick up on Watauga Campus
To be mailed
Address for Transcript Delivery (Required):
_______________________________________________________________
Name of Institution/Person
Use the space to the right to indicate the mailing
address where the transcript(s) should be sent.
Address Line 1
This address will appear on the outside of the
transcript envelope.
_______________________________________________________________
Address Line 2
Note: You must use separate forms if you wish to
send transcripts to more than one location.
_______________________________________________________________
City State Zip Code
Special Instructions
Hold until grades are recorded for current semester Hold until degree/graduation is recorded
Signature and Date
My signature below authorizes release of my student transcripts/records.
SIGNATURE: __________________________ DATE:______________________
CCC&TI is an equal opportunity educator and employer.
01/16/2019
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