Transcript/Records Request

To request your Higher Education/Adult Ed. transcript / records, please fill out our online request form below, or click here for a PDF form you can complete and return to us with payment. There is a $5.00 fee for each official transcript.

Secondary (high school) students must request their records directly from their sending/home high school. You can find your high school contact information here.

Request your Higher Ed/Adult Ed Transcript / Records Using this Online Form

I attended LCCTC as
- an adult student
- a high school student
Secondary (high school) students must request their records directly from their sending/home high school. See link above for high school contact information.
Program*
Name*
First Last
Middle Name
Maiden Name
Class Number or Graduation Date*
Program Name*
Graduation Date*
Please send my transcripts to:
Facility Name:*
Attention:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Special Instructions:
Signature*
Date*
Your current information
Your Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Phone Number*
Your Email*
Payment Information
Official Transcript*
Price: $5.00 Quantity:
Total
$0.00
Credit Card*

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Card Number Expiration Date Security Code Cardholder Name

Print and Mail your Transcript / Records Request Form

Please print and complete the proper form to have your transcript/records sent to an employer or school. There is a $5.00 fee for each official transcript. Cash will not be accepted.

Note: Please specify the college that the official transcript(s) needs to be sent to. Transcripts requested to be sent to the graduate will be marked “unofficial”.

Full Time Program Transcript/Records Request Form (PDF)
Practical Nursing Program Transcript Request Form (PDF)

Forms can be mailed, faxed or scanned & emailed to the contact information listed at the bottom of the Transcript Request Form.

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Phone: 717-464-7050

Fax: 717-464-9518

1730 Hans Herr Drive, Willow Street, PA 17584

Information about Higher Education/Adult Education graduation rates, the median loan debt of students who completed our programs, and other important information is available here.

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