If you need an official Central Lakes College (CLC) transcript sent to a Minnesota State College or University, that institution may be able to obtain your CLC transcript. Please contact that institution directly for further information. A complete listing of the MnSCU collegcs/univcrsitics can be found at www.mnscu.edu/campuses. If you attended Brainerd Technical College and/or Staples Technical College prior to 1986, you must complete this form.
Last Name: |
First: |
Middle: |
Name (if different from above**) when attending college:
**To request a name change, please see Personal Information Change Form
SSN or Tech ID: |
Date of Birth: |
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Address: |
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City: |
State: |
Zip: |
Home Phone #: |
Cell Phone #: |
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E-Mail:
Approximate dates you attended this college:
If you attended before July 16, 1996, please check which campus(es) you attended.
O Brainerd Community College |
Brainerd Technical College |
Staples Technical College |
/request and authorize Central Lakes College toforward my transcript to: College/Company Name:
Attention:
Street Address:
City, State, Zip:
Check all that applies: |
Official Transcript |
Unofficial Transcript |
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Hold for grades: |
DFall OSpring DSummer |
Hold until degree is recorded - Semester graduating: OFall DSpring □Summer
Send as soon as possible
Will pick up transcript
Number of copies requested
Remarks:
CLC is committed lo a policy of nondiscrimination in employment and education opportunity. No person shall be discriminated against in the terms and conditions of employment, personnel practices, or access to and participation in, programs, services, and activities with regard to race, sex, color, creed, religion, age. national origin, disability, marital status, status with regard to public assistance, sexual orientation, or membership or activity in a local commission as defined by law. This information is available in alternative format upon a 48-hcur advance request by contacting Andria Belisle, Disability Coordinator, abclislc@clcmn.cdu, office El 38 at 800-933-0346, ext 8175. Deaf and Hard of Hearing users or TTY communication contact the "Minnesota Relay Service" at 7-1-1 or 1-800-627-3529.
Processing Center
Transcript Processed: O Yes O No
Unable to Process, Transcript Not Sent: ( ) Hold Code 0022 Overdue Resource Material: CLC Library, 218-855-8180
Ifyour transcript is unable to be processed because of a hold, please contact Student Services at 218-855-8031 when you have resolved the hold.