Fillable Registrars Office Park Place East, Winsted, CT 06098

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Registrars Office Park Place East, Winsted, CT 06098

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Please select type of transcript to be sent:
_____ Official Transcript _____ Unofficial Transcript
Student ID # (if known) OR Social Security Number
_@_ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ - ___ ___ - ___ ___ ___ ___
Student’s Name (first, middle, last)
Name at time of attendance (if different than above)
Address (Street, City, State, Zip Code)
Daytime Phone #
( )
Date of Birth
Last Year in Attendance
NCCC Graduate (circle one)
YES NO
Please select one:
_____ Send transcript NOW
_____ Send transcript at END OF SEMESTER once grades are posted
_____ Send transcript when DEGREE/CERTIFICATE is awarded
Please print EXACT name, office and mailing address to which the transcript is to be sent:
(Official transcripts cannot be faxed or emailed).
Department, office or person
School name, company or organization
Street Address
City, State, Zip Code
If you are requesting an official transcript to be mailed directly to you,
DO NOT OPEN IT as it will no longer be considered official.
_________________________________________ Date_______________
Student Signature
TRANSCRIPT REQUEST FORM
Northwestern Connecticut Community College
Registrar’s Office
Park Place East, Winsted, CT 06098
(860) 738-6314 – Phone (860) 738-6413 - Fax
Transcripts are processed in the order
in which they are received and are
mailed within 7 – 10 days. They cannot
be processed while you wait.
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Registrars Office Park Place East, Winsted, CT 06098

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Completed 25 July 2020

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