Tennessee Tech | Office of the Registrar | Jere Whitson Building, Room 221 | 931.372.3317 | registrar@tntech.edu | tntech.edu/em/records/
Office of the Registrar
TENNESSEE TECH
OFFICE USE ONLY: Date Processed: __________ Initials: __________
Pre-Banner Verification: Name Match: Initials: _____ Date: ______ Initials: _____ Date: _____
DOB Match: Initials: _____ Date: ______ Initials: _____ Date: _____
(if avail) SS# Match: Initials: _____ Date: ______ Initials: _____ Date: _____
Student Name: ____________________________________________________________ T#: (if known)_____________________
(Last) (First) (MI)
Previous Last Name: _______________________________________ Phone: _______________ Email: ___________________
Current Street Address: ______________________________________________________________________________________
(Street Number & Street Name) (City) (State) (Zip)
Date of Birth: _________________________ Are you currently enrolled at TTU? __________
If not currently enrolled, enter: _________________________ ______________________ ___________________________
First Term/Year Entered Last Term/Year Entered Degrees Earned (if applicable)
Check one of the following to indicate when you want this transcript processed:
Hold for current term grades ___ Hold for Degree Posting ___ Immediately ___
Check here if you will pick up the transcript in person (Jere Whitson 221) ___
Signature: ______________________________________________________________ Date: ___________________________
Please send ____ copy(s) of my transcript to:
(quantity)
____________________________________ ____________________________________
Name (Business/Institution) Name (Person)
_________________________ _________________________
Street Line 1 Street Line 2
_________________________ _________________________
City/State/Zip Fax Number (if faxing, not mailing)
Requests with incomplete addresses cannot be processed!!!
Transcripts are free of charge, however, if a financial obligation to the University exists, the transcript cannot be released until the
balance is paid.
Transcripts mailed, faxed, or handed to a student will be stamped, “Issued to Student.”
Please complete one form
for each address to which you need your transcript sent. Please allow 2 business days during the semester and 10 business days
at the beginning and end of each semester for processing.
Please physically sign the form in the space provided below and also include a photocopy of your valid I.D. (Driver’s
License or Student I.D.)
Completed Transcript Request forms may be sent via:
Email (Registrar@tntech.edu) Fax (931.372.6111) Mail (Office of the Registrar, PO Box 5026, Cookeville 38505)
