Transcript Request- Chattahoochee Technical College
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1Transcript Request
$5.00 Non-Refundable Fee
Submission and payment options are listed
at the bottom of the form.
** For faster processing, please use the Official Transcript Request through BannerWeb.
Section 1: Student Information
Name: ___________________________________________ Student ID or SS#: _________________________________________
Phone Number: ____________________________________ Date of Birth: ______________________________________________
Personal Email Address: ______________________________________________________________________________________
*If requesting an electronic transcript (eScript-Safe), a confirmation notice will be sent to this email address.
Section 2: Delivery Destination
(Please submit 1 form per transcript requested)
College Name or Individual’s Name: ______________________________________________________________________________
Address: ____________________________________________________________________________________________________
Or
Email Address:_______________________________________________________________________________________________
Section 3: Number of Transcripts Requested
______ *Please note there is a $5 fee per transcript you request
Section 4: Delivery Options
*The default delivery method is always electronic if both mailing address and email address are listed.
□
□
Electronic Transcript (eScript-Safe)
Mail Transcript
Section 5: Processing Options (Choose ONE)
□
Send immediately. (Please allow up to 5 days for processing)
□
If currently enrolled, send after grades are posted. (3-5 days after final grades submitted)
□
If graduation has not been awarded, send after degree/diploma/certificate is posted.
(Please allow up to 2 weeks after completion of graduation requirements.)
Student Signature
Date
Section 6: Submission and payment options
By mail: (money order or check)
On campus:
Chattahoochee Technical College
After paying the $5 non-refundable processing fee per
Bursar’s Office
transcript request, please submit this completed form to
980 South Cobb Drive
the Student Affairs Office on any campus.
Marietta, GA 30060
Cashier Office Use Only
Student Affairs Office Use Only
Receipt #: ________________ Amount: __________ Date:______________
Received by: ________________ Date: _________________
Revised 1/6/15
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