Student Information Request Form
Please note: Students making in-person requests will be required to show photo ID.
Copy(s) Requested: Type of Delivery:
Official Transcript #_____ ($5 Each) Pick up by me
Adult H.S. Transcript # _____ ($5 Each) Picked up by designated person (*see name below)
Unofficial Transcript #_____ (No Charge) Sent via US Mail (please indicate mailing address below)
Enrollment Verification #_____ (No Charge)
Placement Test Scores #_____ (No Charge) (Current or Former Students)
Placement Test Scores #_____ ($5 Each) (Non - GTCC Students)
(Please note, we do not issue GED transcripts, for GED transcript information contact the GED hotline at 919-807-7139.)
Unofficial transcripts may be obtained from WebAdvisor at
Name and address where transcript is to be mailed:
Street City State Zip Code
Student Information:
Student’s Name _____________________________________________________________________________________
Last Name First Name Middle Initial Previous Name
Student ID# or Last Four Digits of SS# __________________________________ Birthdate _________________________
Mailing Address ________________________City ____________________________State ______ Zip Code __________
Student’s Phone Number _____________________________________________________________________________
Approximate Dates of Attendance ______________________________________________________________________
Signature ___________________________________________ Date ___________________________________
In order to comply with FERPA requirements, students must request information themselves.
Students must fulfill ALL financial obligations to GTCC before transcripts are sent.
There is a $5 Fee for Official Transcripts.
Please allow 2 business days for processing.
Personal checks NOT accepted
Do NOT mail cash
Credit cards accepted only in person.
2 Forms of ID are required for in person transactions.
If you have questions, please contact Records at (336) 334-4822 ext. 50155
*Name of designated person _______________________________________
(Identification is required)
Equal Opportunity College/Affirmative Action Employer
Complete and Sign this Request Form
and Mail to:
Guilford Technical Community College
Cashiers Office
P. O. Box 309, Drawer R
Jamestown, NC 27282
Rev. 4/17
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