Workforce Training Non-Credit to Credit Transcript Request Form
1
Date:
Student LCSC ID Number:
Student Name (printed) First, MI, Last
Transcript credit for the course(s) indicated below.
Non-Credit Course
No.
Title
Date of Course
WFT Term
Actual Grade if Other than Pass_______
Credit Course
Subject
No.
Title
Academic Term
Credits
Student Signature:
Date:
WFT Director Approval:
Date:
WFT Coordinator Approval:
Date:
Division Chair Approval:
Date:
WFT Note: Instructor Resume, Application, or Vita Attached? ___ Yes ___No
PT Division Chair for WFT to forward form to is: Tim Wiggins Lynn Mathers
Final Original to be retained in Student File in Registrar’s office. Copies can be retained in
WFT and Division Chair’s offices.
Fee paid by ck:__ cash__ cc ___
GL Acct:
11-01-301620-4-1016
Date Deposited_________
Note: fee is non-refundable
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