PTI Transcript/Certificate Request / New Form

Invalid Fields

There are 0 invalid fields. They have been highlighted.

Electronic Certificate and Transcript Fee:

Certificate: $5.00 per certificate

Transcript: $5.00 per transcript

Printed Certificate and Transcript Fee (Please Provide Mailing Address)

Certificate: $8.00 per certificate

Transcript: $8.00 per transcript

No refunds are available, so if you have any questions be sure to call or email before submitting the request.

Note: It may take up to 5 business days to process a request, from the date the completed request is received in our office.

Please complete the following information to request a copy of your certificate or transcript.

First Name used when enrolled:*

Last Name used when enrolled:*

PTB Number or SSN:*

Current phone number (used for questions regarding your request):*

Email address (used for questions/confirmation regarding your request):*

Graduation date/dates of attendance:*

I am requesting the following record(s):*

Electronic Certificate

Electronic Transcript

Printed Certificate

Printed Transcripts

Number of Electronic Certificates

Number of Electronic Transcripts

Email address to send certificate:

Email address to send transcript:

Number of Printed Certificates

Number of Printed Transcripts

Mailing Address for Printed Certificate:

Mailing Address for Printed Transcript:

I agree to the fee and terms outlined herein. (By typing your name below, you certify that you are the person listed in question 1, and that you are making this request on your own behalf.*

Name:*

Invalid Fields

There are 0 invalid fields. They have been highlighted.