Fayetteville Technical Community College
0000Corporate & Continuing Education Registration/RecordsPO Box 35236; Fayetteville, NC 28303Phone: (910) 678-8386 Fax: (910) 678-8464Request for Corporate & Continuing Education TranscriptsName: FORMTEXT ?????(Full name/include alias or maiden name while attending FTCC)Social Security #: FORMTEXT ?????- FORMTEXT ?????- FORMTEXT ?????DOB: FORMTEXT ?????Home Phone:( FORMTEXT ?????) FORMTEXT ?????- FORMTEXT ?????Work Phone:( FORMTEXT ?????) FORMTEXT ?????- FORMTEXT ?????Send to: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????What year (s) did you attend FTCC: From: FORMTEXT ????? To: FORMTEXT ????? Requesting: (Check all that apply) FORMCHECKBOX Adult High School Transcript: Year Graduated FORMTEXT ????? FORMCHECKBOX Continuing Education Transcript FORMCHECKBOX Certificate (Name of Class) FORMTEXT ????? FORMCHECKBOX Copy of Diploma ($45.00 charge for backdated diploma. For mail in requests, payment by money order only.) Student Signature:Date: FORMTEXT ?????COMPLETE THIS FORM AND FAX OR MAIL TO:FTCC-Corporate & Continuing Education - Registration/RecordsP.O. Box 35236 Fayetteville, NC 28303Phone: (910) 678-8386 Fax: (910) 678-8464FTCC does not charge for copies of Corporate & Continuing Education Transcripts ................
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