Clovis Adult Education Improving Lives Through Education

Transcript Request Clovis Adult Education Classes

•	All requests must be submitted in writing and signed by the student. •	There will be a $5.00 processing fee for each official transcript.
•	Please allow 7-14 working days for processing of transcript.
•	Transcripts may be mailed to you OR you may pick them up in the Department Office indicated on request form. •	You can submit your request in person and pay with money order or cashier’s check, cash or credit card.
•	You can mail a money order or cashier’s check (no personal checks) payable to: “Clovis Unified School District”

Mail to:

TYPE OF TRANSCRIPT:

Academics

High School Diploma GED®

Clovis Adult Education Attention: TRANSCRIPTS 1452 David E. Cook Way Clovis, CA 93611

PLEASE PRINT NEATLY

Date of Request: 	

Student Name: 	

Name while attending: 	

Career Technical Education (CTE) Administrative Assistant (AA)
Medical Assistant-Front Office (MA-FO) Pre-Requisites
Nurse Assistant (NA) Home Health Aide (HHA) Vocational Nurse (VN)

Did you complete your program of study and/or did you graduate?	YES ____	NO___

_______ Official Transcripts _______ Unofficial Transcripts
_______ Amount Enclosed

Social Security #: 	

Date of birth: 	

Phone #: __________________________ Alt phone#: 	

Fax#: ________________________________ Attn: 	

Email: 	

Please indicate:

Requested pick up date: _________________________________ Please mail transcript to the address below:
_____________________________________________________________

_______________________________________________________

_______________________________________________________

Student signature 	

For more information, please call 559.327.2800

Office Use Only

Completed by: 	           Payment Method:	Cash	Check	C/C

Date:	

Date Mailed:	

Received by: 	

Amount paid: 	

Date paid: 	

Revised 9/27/2022	NCR distribution:	white-Department	yellow-Financial	pink-Student