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Pike CTC Transcript Request Form
Please allow up to 10 business days to process the request.
All financial obligations to the Pike CTC must be met prior to the release of the transcript.
There is a
$5.00
fee per transcript.
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* Indicates required question
First Name
*
Your answer
Last Name
(Name while attending)
*
Your answer
Today's Date
MM
/
DD
/
YYYY
Program Attended
*
Your answer
Dates Attended
*
Your answer
Date Completed
MM
/
DD
/
YYYY
Current Street Address
Your answer
Current State
Your answer
Current Zip Code
Your answer
Phone Number
Your answer
Email
Your answer
***SEND TRANSCRIPT TO:
*
Your answer
$5.00 Transcript Fee
$5.00 Fee Per Transcript / CLICK LINK ABOVE TO PAY ONLINE WITH CARD
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Type in name as acknowledgment & consent.
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