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*

Discover
MasterCard
Visa
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.

Student Services

Forms & Documents
High School Services
Higher Ed / Adult Ed Services
Online Stores
- Online Store / Uniforms
- Online Store / Textbooks
Student Portal

Join our Email List

Name
Email*
Comments
This field is for validation purposes and should be left unchanged.

Quick Links

Connect

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.

Are you logging in via the school's network, or an outside network?

SharePoint (Internal Network)

SharePoint (External Network)

Please send my transcripts to:

Your current information

Payment Information