Student Transcript On-Line Order Form

Please complete the following form to order your student transcript. Transcripts are $5/each. If you attended since 1994 and just wish to check your grades, you can do that on-line for free.

When you are finished, click on the Send button at the bottom of the page.

 
 Current Address
 
Student ID:
 
Name: REQUIRED
Address:
(press enter
for new lines)

REQUIRED
City: REQUIRED
State/Province: REQUIRED
Country: REQUIRED
Zip/Postal Code: REQUIRED
Phone: REQUIRED (Please include the Area Code.)

 

E-Mail: REQUIRED
(Your e-mail address is your signature.)
 
If your name is different now, please enter it as it was when you attended CPTC.
 
Name while at school:
 
 Instructional Program
 
Please provide the name of the Class or Career Program you were enrolled in, and the dates you attended CPTC.
 
Program or Class:
  High School Career Program Continuing Education
Dates of attendance: to (Approximate, if necessary.)
 
 Official Transcript
 
Official transcripts must be mailed directly. Please provide the address(es) you want CPTC to mail it to. You may send transcripts to up to three addresses.
 
Copies: (Copies are $5/each)
Name:
Address:
(press enter
for new lines)
City:
State/Province:
Country:
Zip/Postal Code:
 
Do you want your transcript sent by fax? (Faxed copies are not considered "Official" by most colleges. Please check with your new college for their policies.)
 
 Yes. Fax to: (Please include the Area Code.)
 No. (Your transcript will be sent by first class mail. Please allow two weeks for delivery.)
 

 
Copies: (Copies are $5/each)
Name:
Address:
(press enter
for new lines)
City:
State/Province:
Country:
Zip/Postal Code:
 
Do you want your transcript sent by fax? (Faxed copies are not considered "Official" by most colleges. Please check with your new college for their policies.)
 
 Yes. Fax to: (Please include the Area Code.)
 No. (Your transcript will be sent by first class mail. Please allow two weeks for delivery.)
 

 
Copies: (Copies are $5/each)
Name:
Address:
(press enter
for new lines)
City:
State/Province:
Country:
Zip/Postal Code:
 
Do you want your transcript sent by fax? (Faxed copies are not considered "Official" by most colleges. Please check with your new college for their policies.)
 
 Yes. Fax to: (Please include the Area Code.)
 No. (Your transcript will be sent by first class mail. Please allow two weeks for delivery.)
 
 Method of Payment
 
Transcripts are $5 each. Please indicate the preferred method of payment.
 
Credit Card

Visa Master Card
Number: 3-Digit Security Code:
Expires:

(This is a secure web page. Your personal information will be encrypted to protect it during transmission. If you prefer not to send your credit card number over the Internet, you may telephone it to the Office of the Registrar at 253.589.5666. If you choose that option we cannot process your order until you call your number in.)

 

Check or Money Order
(Please do not send cash.)
Mail to:

Office of the Registrar
Clover Park Technical College
4500 Steilacoom Blvd S W
Lakewood WA 98499-4098

 

Please remember to click the Send button to complete your order.

Your transcript will be mailed upon receipt of charge authorization or payment.

Please direct any questions to the Office of the Registrar. Thank you.