ETI Technical College
Transcript Request Form

Date (mm/dd/yy):

PERSONAL INFORMATION

Name:    SS# (XXX-XX-XXXX):

Date of Birth (mm/dd/yy):           Last name if different when attending:

Current Street Address:
 

City:     State:     Zip:

Phone Number:

Email address:

INFORMATION FOR THE REQUEST

Did you attend ETI ATES (you may have to wait a week for ATES)

Year(s) that you attended and/or graduated

Program

Total of transcripts being requested: ($10.00 fee for each official transcript)

Type: OFFICIAL UNOFFICIAL

Complete address to who will be receiving your transcript:

Name or Department:

C/O (Name of Place):

Street Address:
 

City:   State:   Zip:

Disclosure Statement:

I state the I am the named person above and give my full consent for ETI Technical College to process this request. I understand that by electronically signing my name below I am fully attesting to this statement and understand that I have the option of completeing this form in person at the school located at 2076 Youngstown Warren Road, Niles, OH 44446.

I Agree     I Do Not Agree
(By selecting "I Agree" ans signing below you state you agree to the above statement. Selecting "I Do Not Agree" will cause your transcript request to not be processed.)

Signature:

Date signed(mm/dd/yy):

ADDITIONAL INFORMATION

What type of schooling are you interested in?

Have you worked in the field that you trained for here? Yes     No

We have lifetime placement assistance. Would you like to send in a resume? Yes     No

*If you have a balance with the college, both unofficial and official transcripts will not be granted until balance is paid. For balance information, contact the office at (330) 652-9919.