Online Transcript Request Name* First Middle Last Other Name(s)Social Security Number*Date of Birth*Phone Number*Student Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email Address* Send Transcript:*Send now, do not hold for semester gradesSend at end of current semesterWould you like your transcript sent to this address?*YesNoPlease provide COMPLETE name and address of where the transcript is to be sent:Name of where transcript is to be sent:Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Currently Enrolled*YesNoLast Date Attended NCKTCMajor*Terms and Conditions*YesNoBy selecting yes, I agree to the below terms and conditions.Signature*Please enter your first and last name into this box to digitally sign this form.Date Signed* Date Format: MM slash DD slash YYYY I agree to and accept the terms and conditions listed below. Terms and Conditions: 1. There is no fee to request a transcript. 2. Please allow up to 2 working days for processing and mailing, with the exception of those sent at the end of the current semester. Please allow approximately two weeks after the last day of finals for these requests to be processed. 3. Transcripts are released only by a request signed (physically or electronically) by the student. 4. Transcript services are withheld from any student who owes the College money or property. 5. Transcripts from high schools or other colleges cannot be duplicated. You must contract them directly for an official transcript. I agree to the terms and conditions stated above and give the employees of NCK Tech to release my transcript to the above listed institution. By selecting the "I Agree to and Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this agreement. By selecting "I Accept" using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature" is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E -Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting agreement between you and NOVA Financial Aid Office. You are also confirming that you are the student authorized to enter into this agreement. You further agree that each use of your NOVA email equates to your E- Signature and constitutes your agreement to be bound by the terms and conditions of these Disclosures and Agreement as they exist on the date of your E- Signature on this form.1. There is no fee to request a transcript. 2. Please allow up to 2 working days for processing and mailing, with the exception of those sent at the end of the current semester. Please allow approximately two weeks after the last day of finals for these requests. 3. Transcripts are released only by a request signed by the student. 4. Transcript services are withheld from any student who owes the college money or property. 5. Transcripts from high schools or other colleges cannot be duplicated. You must contact them directly for an official transcript.EmailThis field is for validation purposes and should be left unchanged.