Transcript Request Form

When you apply to WITCC, you will need to request your high school transcript or equivalency diploma transcript sent to WITCC. Have this sent to:
Western Iowa Tech Community College
Attn: Transcripts Department
PO Box 5199
Sioux City, Iowa 51102-5199
To request your WITCC transcript be sent to another college or university, fill out the form below.

• All outstanding balances with the college must be paid before transcripts will be processed.
• Incomplete forms will be returned to the requestor.

Items with an * are required.

First Name

Middle Initial

Last Name

Student ID (if known)

SSN (last 4 digits)

Street Address

City

State

Zip

Phone Number

Current E-mail

Confirm E-mail

Hold for Current Semester Grades Process Immediately Hold for current semester grades?

I DO graduate from WITCC this semester I DON'T graduate from WITCC this semester If yes, are you graduating from WITCC at the end of the semester?

UNK Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Start Month (at WITCC)

Start Year (at WITCC)

Deliver by Mail Hold for Pick Up Delivery Options

* Total number of copies

SEND MY TRANSCRIPT(s) TO

Name

Address

City

State

Zip

2. Name

Address

City

State

Zip

3. Name

Address

City

State

Zip

4. Name

Address

City

State

Zip

* By checking this box you are authorizing the above requested transcripts be sent to the institution(s)/college(s) indicated.