TRANSCRIPT REQUEST FORM (schools other than PCC)


Please follow steps indicated below:

  1. Fill in requested information.
  2. Print out form and sign in signature field.
  3. Mail form to your high school and each college attended.

Notes:


TO: REGISTRAR
Fill in name of High School or College

__________________________________________
Signature

Address

Full Name

City, State, Zip

Maiden or previous name

Social Security Number

I attended your school from to .

Please send a transcript of my grades to:
Office of the Registrar
Pitt Community College
P.O. Drawer 7007
Greenville, NC 27835-7007

Please fill out the information in the above fields, then print this form and sign it. Fees for transcripts vary; please check with sending institution to determine correct amount due.