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 needed:
Program Major:
   
Are you 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: Tranferring to another college?
Hold for current semester grades
Hold until degree is recorded
Send immediately 		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: