GWINNETT TECHNICAL COLLEGE

TRANSCRIPT REQUEST

TO: Director of Admissions Date:_____________________

Name of Institution________________________________________________________

Address_________________________________________________________________

City______________________________State_________________Zip Code__________

FROM:

Name of Student(former name if applicable)____________________________________

Present Address___________________________________________________________

City_____________________________State__________________Zip Code__________

Regarding: Transcript Request

I am hereby requesting an official, sealed copy of my high school transcript/college transcript to be sent to Gwinnett Technical College. My social security number is

__________________________. I attended your institution from ________to________. If there is a charge for this transcript, please bill me at the above address.

Please send the transcript to the following address:

Admissions Office

Gwinnett Technical College

5150 Sugarloaf Parkway

Lawrenceville, GA 30043-5702

Your assistance and prompt reply will be appreciated.

Student Signature____________________________________Date_________________