Office of Admissions and Records, 1001 Burkemont Ave., Morganton, NC 28655
Attn: Cathy Williams Fax Number: (828) 448-6179
Workforce Continuing Education
Transcript Request Form
Please Print Clearly
Student ID# or Date of Birth: __________________
Name: ____________________________________
First Middle/Maiden Last
Address: __________________________________
Current PO Box or Street Address
__________________________________
City State Zip
q Check here to update your mailing address.
q Check here to update your telephone number.
If your name has changed since your record was
established, please print original name:
___________________________________________
Year Last Attended WPCC:_____________________
Indicate if your last enrollment was before 1983 _______
Note: Allow at least 3 days during the semester and 1 week at
the end of the semester for transcripts to be sent. If someone
other than the person requesting transcript is to pick it up,
written authorization will be required.
Select from the following:
q Unofficial Transcript copy (Personal use only)
q Official Transcript
Total Number of Transcripts _______
q Pick up transcript
q Mail transcript now
Contact Telephone #: ______________________
List all names and addresses below. If you need
additional space, please use the back of the form.
Mail Transcript To:
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
___________________________________________
We must have your signature and date for your
transcript to be processed:
Signature: __________________________________
Date: ________________
Amount Received: _____________________
Transcript Mailed: _____________________
11/2016
Note: There will be a $5.00 charge for each official transcript requested. Please pay fees to the
Business Office at Western Piedmont Community College.
