Transcript Request

If you are a high school graduate prior to 2005 please request your transcript from your home school.

Name *

First

Last

Former name (as it appears on school records)

Full address to mail transcripts: *

Phone *

Email *

Cell Phone *

Birthday *

Approximate date of attendance *

Graduated from CCCTC: *

Yes
No

Program of study: *

High School graduated from: *

Clearfield
Curwensville
Harmony
Moshannon Valley
Philipsburg Osceola
West Branch
Clearfield Alliance Christian

I was enrolled as: *

High School
Adult

Transcript delivery (transcripts may be considered unofficial if not in original form) *

Pick up at CCCTC
Email transcript
Mail transcript
Fax transcript

If faxing transcript add phone number to fax to:

Type full name below (by typing your name in the signature box below, you are certifying that the information on this form is true and correct. Your typed name in the signature box further authorizes CCCTC to process this request and serves as the official release required under the Family Educational Rights & Privacy Act) *

Date: *

THE SCHOOL OF CHOICE CCCTC does not discriminate on the basis of race, color, national origin, sex, disability or age in its programs and activities and provides equal access to the Boy Scouts and other designated youth groups. The following person has been designated to handle inquiries regarding the non-discrimination policies: Executive Director1620 River Road, Clearfield, PA, 16830, 814-765-5308.

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Clearfield County Career & Technology Center
1620 River Road
Clearfield, PA 16830

814-765-5308 Fax: 814-765-5474

info@ccctc.edu

Monday-Thursday 7:30AM-3:30PM
Friday 7:30AM-3:00PM

Summer Hours:
Monday-Thursday 7:00AM-3:00PM
Friday-Closed

Holiday Hours:
Call for hours.

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WHAT'S HAPPENING AT CCCTC

The Clearfield County Career and Technology Center will not discriminate on the basis of race, color, national origin, sex, or handicap,or age in its programs and activities and provides equal access to the Boy Scouts and other designated youth group in its admissions procedures, educational programs and activities, or employment practices as required by Title VI, Title IX, and Section 504.For information regarding civil rights or grievance procedures, contact the Executive Director at 814-765-5308, Title VI, Title IX, and Section 504 Coordinator, at 1620 River Road Clearfield, Pennsylvania 16830. (Phone 814-765-5308) For information regarding services, activities, programs, and facilities that are accessible to and usable by handicapped persons, contact the Executive Director, at 1620 River Road, Clearfield, Pennsylvania 16830

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