Request a Transcript

Transcript Request Form

Student Information

First Name: Date of Birth:
Last Name: Day Time Phone:
Middle Name: SS#: Write in after printing.
Maiden Name:    

Address

Street:
City: State: Zip:

Requested Information

Number of copies:
Program Major:
   
Currently enrolled? YES    NO If NO, last term enrolled:
   
Pick-up Method: I will pick up on (date):
  Mail to the address listed below in the Transfer Information area.
   
Check Items Which Apply: Hold for current semester grades
Hold until degree is recorded
Send immediately
   
Tranferring to another college? Not planning to transfer
Presently
Within the next year
Within 2-5 years

Transfer Information

Name and/or Title:
Institution Name:
   
Institution Address:  
Street:
City: State: Zip:
  Correct address is student's responsibility

Submit

After completing this form:

Submit to PDF, print, sign and mail to the address listed below:
(you may also deliver the request in person.)

  • Student Services Office / Transcript Request
    Dakota County Technical College
    1300 145th Street East (County Road 42)
    Rosemount, MN 55068-2999
  • Enclose $5.00 fee per official transcript (Cash or check only.) No faxed or email request accepted.
Date: