REQUEST FOR HIGH SCHOOL, VOCATIONAL-TECHNICAL SCHOOL, OR COLLEGE RECORD
Office of Admissions
Atlanta Technical College
1560 Metropolitan Parkway, SW
Atlanta, Georgia 30310
Phone: (404) 225–4400
To the applicant:
Complete this form to request a transcript from your high school or college(s). Please print clearly. If you are
currently in high school or college, take this form to your school. If you are not in school, either mail or take this form
to the school from which you graduated or attended. It is your responsibility to get the transcripts to the Admissions
Office by the established deadline.
Applicant’s Name ___________________________________ Social Security Number ___________________
Date of Birth ______________________
Other Names Used ______________________________________
Current Address ______________________________________________________________________________
Current Phone Number__________________________
Name of school ______________________________________________________________________________
School Address ______________________________________________________________________________
Dates Attended From: ______________________________
Circle One:
Graduated
Expect to Graduate
To: _________________________________
Did Not Graduate
Completed GED
As an applicant/student at Atlanta Technical College, I have been asked to furnish information for use in verifying and updating my educational credentials for admission to
the College. I hereby authorize the release of an official and complete educational transcript(s).
Student’s Signature __________________________________________ Date ___________________________
DO NOT WRITE BELOW THIS LINE
******
DO NOT WRITE BELOW THIS LINE
___________________________________________________________________________________________
GUIDANCE COUNSELOR/REGISTRAR:
This applicant is requesting admission to Atlanta Technical College. It is important that we receive an official raised
seal transcript to process the admissions application. Please attach this form to the applicant’s transcript and forward
to the address above.
Signature _____________________________________ Title _________________ Date ____________________
Transcripts are good for six months. Anyone whose application has not been accepted within that time period will be
required to submit another transcript.
As set forth in its student catalog, Atlanta Technical College does not discriminate on the basis of race, color, creed, national or ethnic origin, gender, religion, disability, age,
political affiliation or belief, veteran status, or citizenship status (except in those special circumstances permitted or mandated by law).
For further information regarding these laws ( Title VI, IX and Section 504) contact: Harriet Ferrell, Equity Coordinator, Atlanta Technical College, Cleveland Dennard Center, Suite
128. 404-225-4463. Email: hferrell@atlantatech.edu. Request for assistance upon enrollment: Harriett Ferrell, Career Planner (Special Needs), Student Affairs Division, Cleveland
Dennard Center, Suite 160. Email: hferrell@atlantatech.edu. Telephone: 404.225-4463. Atlanta Technical College 1560 Metropolitan Parkway, S.W. Atlanta, GA 30310.
Revised 12/22/09