Transcript Order Form | Divers Institute of Technology

Transcript And Certification Order Form

This information has been released in accordance with the Federal Family Educational Rights and Privacy Act (FERPA) and cannot be further disclosed without the prior written consent of the student.

All outstanding obligations (financial, academic or administrative) due to DIT must be cleared before your transcript, certification, or record request can be processed.

STANDARD PROCESSING OF TRANSCRIPT AND CERTIFICATIONS REQUESTS: Official DIT transcripts are printed on letterhead and bear an official signature and the seal of DIT.

Student's Full Name (First, Middle, Last)*

Date of Birth*

MM

DD

YYYY

DIT Class (If Known)

Current Address*

Country*

City*

State*

ZIP*

Phone Number*

Email*

Documents To Order

Academic Transcript

Price: $15.00 Quantity:

Choose Form

Diploma

Price: $15.00 Quantity:

Choose Form

Diploma card (wallet size, hard card)

Price: $15.00 Quantity:

Choose Form

Qualified Rigger Card (hard card)

Price: $15.00 Quantity:

Choose Form

JSA Card (hard card)

Price: $15.00 Quantity:

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NDT Mag Particle Certificate

Price: $15.00 Quantity:

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NDT Ultrasonic Certificate

Price: $15.00 Quantity:

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OSHA/Hazmat Certificate

Price: $15.00 Quantity:

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OSHA/Hazmat (hard card)

Price: $15.00 Quantity:

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DAN First Aid Certificate

Price: $15.00 Quantity:

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Fill Station Technician Certificate

Price: $15.00 Quantity:

(Class 104-19 and later)

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Perfect Attendance Award

Price: $15.00 Quantity:

(if earned)

Choose Form

Welding Achievement Award

Price: $15.00 Quantity:

(if earned)

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Copy of Physical

Price: $25.00 Quantity:

Choose Form

Copy of Complete Record

Price: $40.00 Quantity:

Choose Form

FERPA Certification & Release

The Family Rights and Privacy Act (FERPA) (20 U.S.C. § 1232g; CFR Part 99) is a federal law that protects the privacy of student education records.

FERPA gives parents rights with respect to their children’s education records. These rights transfer to the student when he or she reaches the age of 18 or attends a school beyond the high school level. Students who meet these criteria are “eligible students.”

An eligible student has the right to release information from their education record however there must be written statement in the student’s file releasing this information.

STUDENT RELEASE OF INFORMATION

I understand that any and all personally identifiable information concerning my financial aid is protected under FERPA. I further understand that I may waive that protection and give access of my records to individuals of my choice.

I agree to waive my rights under FERPA and allow the below-named individual(s) to receive access to my education records.

DIT May Release My Records To: (First, MI, Last Name)*

Relationship to Student*

I acknowledge that this release is valid for this transcript request.

By checking the box and filling in your name, you are creating an E-Signature.*

I Agree

Signature required*

Date*

MM

DD

YYYY

Order Processing

Processing Time*

Expedited service is only available for class 101-03 or later.

Shipping*

Do You Want This Order Sent By FAX?*

Yes
No

Delivery by FAX - Domestic

Price: $5.00 Quantity:

Enter number of fax numbers as quantity.

Domestic Fax Numbers

Delivery by FAX - International

Price: $10.00 Quantity:

Enter number of fax numbers as quantity.

International Fax Numbers

Delivery Name

First Last

Delivery Address

If you want your transcript or certifications delivered to an address other than the one you listed above, please enter the delivery name and address here.

Total

$0.00