REQUEST FOR OFFICIAL SCHOOL TRANSCRIPT- type information into colored areas
Use the PRINT button below. Mail completed form to the school from which you need a transcript.
TO: ______________________________________________________________ School Attended
__________________________________________________________________ Address
__________________________________________________________________ City State Zip
Dates Attended(mm/yyyy): From To Graduation Date:
FROM: ________________________________________________________ Name as it appears on transcript:
LAST FIRST M.I.
_________________________________________________________________ Current Name:
LAST FIRST M.I.
_________________________________________________________________ Address
_________________________________________________________________ City State Zip
SSN: Date of Birth (mm/dd/yyyy):
My signature below indicates my request and permission for the school named above to release my
school transcripts to: COLUMBUS TECHNICAL COLLEGE , OFFICE OF ADMISSIONS, 928
MANCHESTER EXPRESSWAY , COLUMBUS, GA 31904-6572
______________________________________________ ___________
SIGNATURE DATE
NOTE: Columbus Technical College accepts only official copies of transcripts. Copies released to
students, faxed copies, or hand-delivered copies not in a sealed envelope cannot be accepted for
purposes of admissions or transfer of grade considerations. All documents released to Columbus
Technical College become the property of the College and may not be reproduced or forwarded to
other agencies or institutions. AO/9-00
