Test Score Reports
Student Information – Complete All Fields
Former Last Name
Student ID # or last 4 digits of Social Security #:
Number of Test Score Reports Requested ($7.50 per copy) ____________ Total payment enclosed: ____________
Delivery Options (Choose One)
Mail to address indicated below
2. Deliver to receptionist / I will pickup
City State Zip
Clarkesville (Clegg Building)
(NGTC will call when report is ready)
4. Email to the following address
Fax to the following:
Fax #: _______________________________
(Required by Federal Law)
Mail form and payment to:
North Georgia Technical College
Office of the Registrar
PO Box 65
• Make checks or money orders payable to NGTC.
• Cash is accepted but mailing cash is not recommended.
• Sealed envelopes containing forms and payment may be submitted to receptionists on any NGTC campus.
• Standard requests for test score reports are processed within 5 business days.
As set forth in the student catalog, North Georgia Technical College does not discriminate on the basis of race, color, creed, national or ethnic origin, gender, religion, disability,
age, political affiliation or belief, genetic information, disabled veteran, veteran status, or citizenship status (except in those special circumstances permitted or mandated by law).
For complaints or information, contact Mike King, VP of Student Affairs (706- 754-7711, Title VI, IX, II), or Kay Morgan, special services contact (706-754-7828, Sec.
504/Title I/ADA) at 1500 HWY 197 N, Clarkesville, GA 30523.
This institution is an equal opportunity provider and employer. If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form,
found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information
requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W.,
Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at email@example.com. 8/29/18