Student Records

MNTC provides exceptional service and support to students. Students are connected to learning resources, professional development opportunities, employers, colleges, and other services to ensure personal growth and career success.

Please allow five (5) business days for processing. Students must have photo identification. We recommend students to complete the online form to request any release of student records.

Please note:

Student Records are not sent by fax or email.
Records will be sent within five business days the request was received, except during rush periods and holidays.
Student Records documents are not available for immediate issue.
Call ahead 405-801-5060 to ensure your student record documents are ready for pick up at our Franklin Road Campus or you can have it mailed to your address.

For questions, contact 405-801-5061 or Records.Management@mntc.edu.

For questions about assessment/testing records or documentation, contact assessment@mntc.edu or call 405-801-5015

For more information about Student Records, Policy No. 570 Click Here.

Find the information you need with the right form!

Select the tab below that matches your current status. A list of commonly requested forms will appear.

Current Student
Former Student
Employers/Third Party

Current Student

Commonly Requested Forms by Current Students.

This section is designed for current students to find forms related to documentation and verification of student education and experience.

Activity Fund Forms
Career Program Change Request
Change of Student Contact Information
Graduation and Continuing Enrollment
Preferred Name & Pronoun Designation
Release of Records
Student Information for the 1098-T
Transcript Request

Activity Fund Forms

Activity Fund is to financially support school activities.

School activities are defined as co-curricular or extracurricular activities. Co-curricular activities are school-sponsored activities, under the guidance and supervision of school district staff, designated to provide students such experiences as motivation, enjoyment, and improvement skills. These activities normally supplement the regular instructional program.

Students will utilize theses forms for their activities

Activity Fund Receipt Ledger – Fin-046
General Deposit Sheet – Fin-021

Please contact us access these forms.

Career Program Change Request

What is the Career Program Change Request Form?

This form is completed by current career program students interested in changing from one program to another program. Requests must be submitted before the deadline each year. Changes are not guaranteed. Students are encouraged to visit with their career program counselor.

Career Program change requests for 2024-2025 have closed. Contact your counselor for any additional questions.

Change of Student Contact Information

Why Should You Update Your Contact Information?

Keeping your contact information updated allows us to deliver information to you in an accurate and timely manner. We want to ensure that the right information is reaching the right person.

Required

Thank you for helping us keep your records accurate. Complete the form below with the new information needed to update your student records.

Type of Change*required

Name

Phone

Email Address

Mailing Address

Emergency Contact (HS Only)

Current Information

Full Name (As currently listed)*required

Email Address*required

Social Security No. (last 4 digits)*required

Must contain only numbers

Career Program*required

Instructor*required

New Name

Carefully spell the new name you are requesting to update in the spaces provided.

First

Middle

Last

Please note: Any name changes must include legal documentation (i.e. marriage certificate, divorce decree, etc.) Please attach a copy of your document using the link below.

New Phone

Carefully add the numbers you need to update in the spaces below. Only use numbers.

New Cell Phone

Must contain only numbers

New Home Phone

Must contain only numbers

New Work Phone

Must contain only numbers

New Email Address

Carefully add the letters/numbers you need to update in the spaces below.

Email Address

New Mailing Address

Please note: Some address changes may require proof. You will be contacted by the Bursars Office if additional documentation is required.

Address 1

Address 2

City

State

Zip

Must contain only numbers

New Emergency Contact (HS Only)

Please note: Some emergency contact changes may require proof. You will be contacted by the Records Management Office if additional documentation is required.

Relationship to Emergency Contact

Parent, Guardian, etc.

First

Middle

Last

Cell Phone

Must contain only numbers

Home Phone

Must contain only numbers

Work Phone

Must contain only numbers

Terms of Contact*required

I understand that any changes must be accompanied by legal documents (i.e. marriage certificate, divorce decree, etc.). Some address changes may require proof and I may be contacted by records management.

File Upload

Attach up to 1 file with a maximum size of 10MB

No file chosen

Signature*required

Office Log

Graduation and Continuing Enrollment

Who Completes The Graduation and Continuing Enrollment Form?

Currently enrolled students in a career program are the only students that need to complete and submit this form each year.

Submitting information in this form does not imply or guarantee graduation, acceptance or enrollment into a program or class at MNTC for the 2027-2028 school year. I understand that I must meet with my current instructor and/or counselor before 5:00pm on Wednesday, February 17, 2027.

Engineering students have a different process and need to contact their instructor or counselor before Wednesday, February 17, 2027.

For questions about completing this graduation/continuing enrollment form, contact 405-801-5061 or Records.Management@mntc.edu.

Required

Graduation & Continuing Enrollment Form

All current MNTC students must complete this form to accurately reflect their graduation, completion or continuing enrollment status for Fall 2027. Please complete this form for your current program.

Submission deadline is Wednesday, February 17, 2027.

First Name*required

Student legal first name.

Last Name*required

Student legal last name.

Middle Name

Student legal middle name.

Email Address*required

Submit your current email address.

Current Grade*requiredSelect your current grade.

11th

12th

Adult

Select your current grade.

Current Program*required

Select your current program from the drop down list.

You selected the career program Engineering.

Engineering has a different graduation/continuing enrollment process. You should have completed this process already. Please reach out to the Engineering & Manufacturing program office if you have any questions.

Expected Enrollment Status*requiredSelect your expected enrollment status for next fall.

Graduating in May 2026

Not graduating in May 2026

Select your expected enrollment status for next fall.

Expected Enrollment Status*requiredSelect your expected enrollment status for next fall.

Graduating in May 2026

Continuing in August 2026

Not returning in August 2026

Select your expected enrollment status for next fall.

Biomedical Advanced is a 2-hour course only. I would like to add the following course to enhance my educational experience at Moore Norman Technology Center:*requiredSelect your expected enrollment status for next fall.

Physics

AP Physics

None, I would like to be a 2-hour student only.

Select your expected enrollment status for next fall.

EXPECTED GRADUATES: This is important for students expecting to graduate in May 2027. This does not confirm your graduation status. Your instructor will approve final requirements for graduating.

Submit the full name you would like listed on your physical diploma.

Expected Graduates - Enter the full name you would like listed on your diploma below.*required

Submit the full name you would like listed on your physical diploma.

This is for students that are not graduating or have not completed their career program. Please give a short reason why you are not returning to MNTC in August 2027.

Not Returning*required

Do you need to update your address and/or contact information? *requiredDo you need to update your address and contact information?

Yes

Do you need to update your address and contact information?

Address

City

Zip

Phone

Financial Obligations Agreement

By registering for classes at Moore Norman Technology Center, the student agrees to pay the balance owed on his/her Student Account. Failure to comply with this agreement will result in the cancellation of the student’s enrollment (including loss of credit) but not the cancellation of the student’s obligation to pay. Please refer to the Student Handbook for information regarding refunds.

The student must take care of any financial obligations related to tuition, fees, and/or materials prior to the first day of class. The student may pay his/her balance online through the MNTC Student Portal or by contacting the Bursar Office. Cash, credit/debit cards, checks, and money orders are accepted. Payment plans are available.

An Account Status is mailed to the address listed on his/her Student Account. It is the student’s responsibility to keep the contact information in the Student Account up to date.

Please note the school’s process is to refer all unpaid accounts to a collection agency. The student will be responsible for any collections/court fees if the account is turned to a collection agency. Under these circumstances, the student explicitly authorizes MNTC to release personal and financial records to the collection agency.

For questions about payment plans or program costs, please contact the MNTC Bursar Office at (405) 801-5090 or (405) 801-5091 or bursar@mntc.edu.

Financial Obligations Statement of Understanding*requiredPlease select up to 1 choice

Yes, I understand.

Please select up to 1 choice

MNTC Financial Aid

It is beneficial for all adult students to apply for financial aid. Complete the FAFSA application to see if you are eligible for federal and state financial assistance.

The MNTC Tuition Assistance program offers up to $4,000 for full-time programs or eligible short-term courses. Eligible students must meet specific criteria, such as being 21 or younger, living in the MNTC school district, and having a high school diploma or equivalent, or being a high school student in good standing. To maintain assistance, students must make satisfactory progress, uphold a B average, adhere to attendance policies, and avoid disciplinary issues; violations may result in probation or loss of benefits. Complete the MNTC Tuition Assistance application and submit a high school transcript or diploma to apply.

For questions about financial aid and MNTC Tuition Assistance, please contact the MNTC Financial Aid Office at (405) 801-5045 or financialaid.office@mntc.edu.

Financial Aid Statement of Understanding*requiredPlease select up to 1 choice

Yes, I understand.

Please select up to 1 choice

Submitting information in this form does not imply or guarantee graduation, acceptance or enrollment into a program, session, or class at MNTC for the 2026-2027 school year.

Thank you for completing this form. Your information will be updated through the Student Services office.

Preferred Name & Pronoun Designation

Why Does The Preferred Name and Pronoun Designation Form Submitted?

In accordance with the updated Oklahoma Parents’ Bill of Rights (Oklahoma Administrative Code 210:10-2-1, et seq. and 210: 35-3-121, et seq.), Moore Norman Technology Center (MNTC) will inform parents and or guardians of any requested preferred names and/or pronouns designations.

To request a preferred name or pronoun designation for a student, please complete, sign and return the form below to the Registrar in Student Services at MNTC.

Download form here.

A student’s preferred name and or pronouns will be used in place of your legal name for communication purposes.

Release of Records

What is a Release of Records?

This form is a request from a student to release their records (education, financial or both) to a third party, such as a parent or an employer.

You are giving permission for Moore Norman Technology Center to share your records to another person, agency, or institution.

Required

Select Your Student Status*required

Current student

Prospective student

Former student

Are you under the age of 18?*required

Yes

By submitting this request I give Moore Norman Technology Center permission to release school records and/or transcript of grades and credits earned to the institutions, persons or agencies listed below.

I understand that if I no longer wish to have my records released to the institutions, persons, or agencies below, I must notify the Moore Norman Technology Center's Records Management department in writing.

Students under the age of 18 must submit a Release of Student Records Authorization Form with a witness signature and date.

Permission to release*required

Yes, I give permission.

No, I am not ready to give permission.

Name while attending MNTC.

Include other names used while attending MNTC if different from from current name.

Current Full name*required

Include your current name (First, Middle, Last)

Date of Birth*required

Must contain a date in MM/DD/YYYY format

SSN (last four numbers)*required

Mailing Street Address*required

Include your current mailing address.

Street Address Line 2

City*required

State*required

Zip Code*required

Phone Number (000-000-0000)*required

Email address*required

Update my records*requiredWould you like this address updated in your student records?

Yes, update my records

No, do not change my records

Would you like this address updated in your student records?

Date Last Attended*required

Select the date or closest date of your last attendance at MNTC. (Must contain a date in MM/DD/YYYY format)

Program or Class Attended*required

Name of your program or class you attended.

Release Records to:

Institution/Person/Agency Name*required

Street/Box Address*required

City*required

State*required

Zip*required

Phone

Fax Number

Records to release*required

Academic Records (ex: application status, grades, attendance, certifications, etc.)

Financial Records (ex: financial aid, bursar statements, scholarship information, etc.)

It is a requirement for student to submit a current government issued photo ID (drivers license, passport card, etc.) to request a record release. Use the option below to upload your file.

Photo File Upload*required

Attach up to 1 file with a maximum size of 10MB

No file chosen

Allowed file types: Image, Document

By submitting this online request and typing your name above, you are signing this agreement electronically. You agree your electronic signature is the same as a handwritten signature for the purposes of validity, enforceability and admissibility.

Signature Agreement*required

Student Information for the 1098-T

MNTC’s Bursar office is required by the Internal Revenue Service (IRS) to issue the form 1098-T to any student that provides a social security number to the school and is enrolled during the current calendar tax year period.

The form 1098-T will report payments made during the current tax year. The form also documents if you were enrolled at least half-time during any semester and if you have graduated. To ensure timely delivery, please make sure to update your address, when appropriate.

*Student must request this form by completing and submitting the Student Information for 1098-T form to the Bursar Office by January.

Transcript Request

What is a Transcript Request?

ONLY for students who would like to receive a copy of your own transcript or enrollment information. This is not mailed to another party.

This form is a request from the student for an embossed stamped and sealed document of completed classes.

It can be used to show proof of training or skills when applying for jobs, colleges and others who need official record of a student’s enrollment and progress in a career or technical education program.

Required

Select Student Status*required

Current student

Former student

I am a former student requesting a:*requiredPlease select up to 1 choice

Transcript

Letter of Verification of Previous Enrollment

Copy of Certificate of Completion for a Short-Term Course

Please select up to 1 choice

I am a current student requesting a:*requiredPlease select up to 1 choice

Letter of Verification of Current Enrollment

Transcript of Previously Completed Courses

Please select up to 1 choice

To tailor the letter of verification, please list the reason for request below: *requiredPlease select all that apply

Employment Purposes

Insurance Requirements

Legal Requests

Financial Assistance (tribe, agency, daycare, etc.)

Other

Please select all that apply

Other:*required

(Must contain only numbers)

Number of copies*required

How many copies are you requesting? (Must contain only numbers)

Sealed and stamped envelope*requiredDo you require each transcript or letter in a separate, sealed, and stamped envelope?

Yes

Do you require each transcript or letter in a separate, sealed, and stamped envelope?

Student Mailing and Contact Information

Full name*required

Include (First, Middle, Last)

Other names used

Include other names used if different from legal name.

Email address*required

Mailing Street Address*required

Street Address Line 2

City*required

State*required

Zip Code*required

Update my records*requiredWould you like this address updated in your student records?

Yes, update my records

No, do not change my records

Would you like this address updated in your student records?

Required information

Date of Birth*required

Must contain a date in MM/DD/YYYY format

SSN (last four numbers)*required

Phone Number *required

Date Last Attended

Select the date or closest date of your last attendance at MNTC. (Must contain a date in MM/DD/YYYY format)

Program or Class Attended*required

Name of the program or class you attended.

Transcript/Letter of Verification sent to:

Select option to receive:*requiredThe address provided will receive a copy of your transcript/letter of verification.

Address provided above

Send to different address

I will pick up in-person

The address provided will receive a copy of your transcript/letter of verification.

How do you prefer to be notified when ready for pick up?*requiredPlease select up to 2 choices

Email notification

Phone call notification

Please select up to 2 choices

Institution/Person/Agency Name*required

Street/Box Address*required

City*required

State*required

Zip*required

Must contain only numbers

A completed signature with a copy of a current photo ID (government issued with signature) is required for this request to be processed.

Attach file*required

Attach up to 1 file with a maximum size of 10MB

No file chosen

I certify that all information given here is complete and correct to the best of my knowledge.

By submitting this online request and typing my name below, I am signing this agreement electronically. I agree that my electronic signature is the same as a handwritten signature for the purposes of validity, enforceability and admissibility.

Signature Agreement*required

Learn about the MNTC ADMISSIONS PROCESS.

Adults
High School
Homeschool
Private/Charter

graduates go on to work in their field of study, continue their education in higher ed, or join the military.

Learn about Financial Aid MNTC.

Financial Aid
Tuition Assistance
Scholarships
and more

graduates go on to work in their field of study, continue their education in higher ed, or join the military.

Learn about Assessment Center

Testing
Certifications

graduates go on to work in their field of study, continue their education in higher ed, or join the military.

Former Student

Commonly Requested Student Records by Alumni.

This section is designed for former students to find forms related to documentation and verification of student education and experience.

Change of Student Contact Information
Release of Assessment Results
Release of Records
Transcript Request

Change of Student Contact Information

Why Should You Update Your Contact Information?

Keeping your contact information updated allows us to deliver information to you in an accurate and timely manner. We want to ensure that the right information is reaching the right person.

Required

Thank you for helping us keep your records accurate. Complete the form below with the new information needed to update your student records.

Type of Change*required

Name

Phone

Email Address

Mailing Address

Emergency Contact (HS Only)

Current Information

Full Name (As currently listed)*required

Email Address*required

Social Security No. (last 4 digits)*required

Must contain only numbers

Career Program*required

Instructor*required

New Name

Carefully spell the new name you are requesting to update in the spaces provided.

First

Middle

Last

Please note: Any name changes must include legal documentation (i.e. marriage certificate, divorce decree, etc.) Please attach a copy of your document using the link below.

New Phone

Carefully add the numbers you need to update in the spaces below. Only use numbers.

New Cell Phone

Must contain only numbers

New Home Phone

Must contain only numbers

New Work Phone

Must contain only numbers

New Email Address

Carefully add the letters/numbers you need to update in the spaces below.

Email Address

New Mailing Address

Please note: Some address changes may require proof. You will be contacted by the Bursars Office if additional documentation is required.

Address 1

Address 2

City

State

Zip

Must contain only numbers

New Emergency Contact (HS Only)

Please note: Some emergency contact changes may require proof. You will be contacted by the Records Management Office if additional documentation is required.

Relationship to Emergency Contact

Parent, Guardian, etc.

First

Middle

Last

Cell Phone

Must contain only numbers

Home Phone

Must contain only numbers

Work Phone

Must contain only numbers

Terms of Contact*required

File Upload

Attach up to 1 file with a maximum size of 10MB

No file chosen

Signature*required

Office Log

Release of Assessment Results

What is a Release of Assessment Results?

Required

Complete all sections and submit this form to give permission for release of your assessment results.

Your Name*required

First Name

Middle (optional)

Last Name

Other names used:

My mailing address*required

City*required

State*required

Zip Code*required

Must contain only numbers

Your Email Address*required

Date of Birth*required

Must contain only letters and numbers

Last five (5) of your SS#*required

Must contain only numbers

Phone Number

The phone number entered could not be formatted, but will still be saved upon submission.

Name of Assessment*required

Date of Assessment*required

Must contain a date in MM/DD/YYYY format

Send form by:Please select up to 3 choices

US Mail

Fax

Please select up to 3 choices

REQUIRED: Upload legible copy of current and valid photo ID.*required

Attach up to 2 files with a maximum size of 10MB

No file chosen

Request will NOT be completed with a legible copy of your current and valid photo ID.

Send my Moore Norman Technology Center Results To:

(Applicant is responsible for complete and accuracy of the address, fax number, and or email address.)

Institution/Person/Agency Name*required

Mailing Address*required

City*required

State*required

Zip Code*required

Must contain only numbers

Fax Number*required

The phone number entered could not be formatted, but will still be saved upon submission.

Email Address*required

Electronic Signature*required

Terms of Agreement*required

By checking this box and typing your name below, you are signing electronically. You agree your electronic signature is the same as a hand written signature for the purposes of validity, enforceability, and admissibility.

Send inquiries or comments to the Assessment Center at Moore Norman Technology Center:

Moore Norman Technology Center

Assessment Center

PO Box 4701

Norman, OK 73070-4701

Email: assessment@mntc.edu

Release of Records

What is a Release of Records?

This form is a request from a student to release their records (education, financial or both) to a third party, such as a parent or an employer.

You are giving permission for Moore Norman Technology Center to share your records to another person, agency, or institution.

Required

Select Your Student Status*required

Current student

Prospective student

Former student

Are you under the age of 18?*required

Yes

Students under the age of 18 must submit a Release of Student Records Authorization Form with a witness signature and date.

Permission to release*required

Yes, I give permission.

No, I am not ready to give permission.

Name while attending MNTC.

Include other names used while attending MNTC if different from from current name.

Current Full name*required

Include your current name (First, Middle, Last)

Date of Birth*required

Must contain a date in MM/DD/YYYY format

SSN (last four numbers)*required

Mailing Street Address*required

Include your current mailing address.

Street Address Line 2

City*required

State*required

Zip Code*required

Phone Number (000-000-0000)*required

Email address*required

Update my records*requiredWould you like this address updated in your student records?

Yes, update my records

No, do not change my records

Would you like this address updated in your student records?

Date Last Attended*required

Select the date or closest date of your last attendance at MNTC. (Must contain a date in MM/DD/YYYY format)

Program or Class Attended*required

Name of your program or class you attended.

Release Records to:

Institution/Person/Agency Name*required

Street/Box Address*required

City*required

State*required

Zip*required

Phone

Fax Number

Records to release*required

Academic Records (ex: application status, grades, attendance, certifications, etc.)

Financial Records (ex: financial aid, bursar statements, scholarship information, etc.)

It is a requirement for student to submit a current government issued photo ID (drivers license, passport card, etc.) to request a record release. Use the option below to upload your file.

Photo File Upload*required

Attach up to 1 file with a maximum size of 10MB

No file chosen

Allowed file types: Image, Document

Signature Agreement*required

Transcript Request

What is a Transcript Request?

ONLY for students who would like to receive a copy of your own transcript or enrollment information. This is not mailed to another party.

This form is a request from former students for an embossed stamped and sealed document of completed classes.

Required

Select Student Status*required

Current student

Former student

I am a former student requesting a:*requiredPlease select up to 1 choice

Transcript

Letter of Verification of Previous Enrollment

Copy of Certificate of Completion for a Short-Term Course

Please select up to 1 choice

I am a current student requesting a:*requiredPlease select up to 1 choice

Letter of Verification of Current Enrollment

Transcript of Previously Completed Courses

Please select up to 1 choice

To tailor the letter of verification, please list the reason for request below: *requiredPlease select all that apply

Employment Purposes

Insurance Requirements

Legal Requests

Financial Assistance (tribe, agency, daycare, etc.)

Other

Please select all that apply

Other:*required

(Must contain only numbers)

Number of copies*required

How many copies are you requesting? (Must contain only numbers)

Sealed and stamped envelope*requiredDo you require each transcript or letter in a separate, sealed, and stamped envelope?

Yes

Do you require each transcript or letter in a separate, sealed, and stamped envelope?

Student Mailing and Contact Information

Full name*required

Include (First, Middle, Last)

Other names used

Include other names used if different from legal name.

Email address*required

Mailing Street Address*required

Street Address Line 2

City*required

State*required

Zip Code*required

Update my records*requiredWould you like this address updated in your student records?

Yes, update my records

No, do not change my records

Would you like this address updated in your student records?

Required information

Date of Birth*required

Must contain a date in MM/DD/YYYY format

SSN (last four numbers)*required

Phone Number *required

Date Last Attended

Select the date or closest date of your last attendance at MNTC. (Must contain a date in MM/DD/YYYY format)

Program or Class Attended*required

Name of the program or class you attended.

Transcript/Letter of Verification sent to:

Select option to receive:*requiredThe address provided will receive a copy of your transcript/letter of verification.

Address provided above

Send to different address

I will pick up in-person

The address provided will receive a copy of your transcript/letter of verification.

How do you prefer to be notified when ready for pick up?*requiredPlease select up to 2 choices

Email notification

Phone call notification

Please select up to 2 choices

Institution/Person/Agency Name*required

Street/Box Address*required

City*required

State*required

Zip*required

Must contain only numbers

A completed signature with a copy of a current photo ID (government issued with signature) is required for this request to be processed.

Attach file*required

Attach up to 1 file with a maximum size of 10MB

No file chosen

I certify that all information given here is complete and correct to the best of my knowledge.

Signature Agreement*required

Join the MNTC Alumni Association. It's free to stay connected.

Employers/Third Party

Commonly Requested Third Party Documentation.

This section is designed for employers, educational institutions and other third party agencies to find forms related to documentation and verification of current or former student education and experience.

Education Verification

Education Verification

What is the Education Verification?

This form is used to request proof of a student’s active enrollment in a program.

Current students may be asked for documentation to provide to employers or internships, financial aid offices, insurance companies, housing programs, scholarship foundations or others.

This section is designed for current students to find forms related to documentation and verification of student education and experience.

For questions about student records, contact 405-801-5061 or Records.Management@mntc.edu.

For questions about assessment/testing records or documentation, contact assessment@mntc.edu or call 405-801-5015

Required

Education Verification Requests will be sent within five(5) business days of when the request was received, except during rush periods and holidays. Please allow up to five (5) business days for processing.

Education Verification requests, transcripts, and letters of verification must be accompanied by a signed release for educational and/or academic information from the student in order to be processed. Please complete a separate form for each student request.

For questions, please contact 405.801.5000 or Records.Management@mntc.edu.

Request Type*required

Education Verification

Transcript

Letter of Verification (Current Students Only)

Requesting Company/Institution/Agency Information:

Name of Company/Institution/Agency: *required

Contact Person for Company/Institution/Agency:*required

First Name

Last Name

Contact Phone Number for Company/Institution/Agency: *required

Contact Email Address for Company/Institution/Agency:*required

How would you like to receive the education verification/transcript/letter of verification? *required

Email Listed Above

Secure Webpage

Mail (only option for Transcripts)

Other

Secure Webpage: *required

Secure Webpage Passkey, if required:

Mailing Address*required

Mailing Address

City

State

Zip Code

List Method Below:*required

Student Information:

Student's Full Legal Name*required

Include (First, Middle, Last)

Previous Names Used

Include other names used if different from legal name.

Student Date of Birth*required

Must contain a date in MM/DD/YYYY format

Student Social Security Number

Enter the last 5 digits of student SSN. (Must contain only numbers)

Program or Class Attended*required

Name of the program or class student attended.

Date Last Attended

Select the date or closest date of the student's last attendance at MNTC. (Must contain a date in MM/DD/YYYY format)

Please check the information that is needed for the student: *required

Area of Study

Dates Attended

Graduation Date

Type of Institution

Other

Please list other information requested:

Please attach signed release from student below:*required

Attach up to 1 file with a maximum size of 10MB

No file chosen

This signed release must include a release for educational and/or academic information.

I certify that I am submitting a verification request on behalf of the company/institution/agency listed above. I agree that my electronic signature below is the same as a handwritten signature for the purposes of validity, enforceability and admissibility.

Signature

Hire MNTC Grads / Post a Job Workforce Development

Student Records

Franklin Road Campus

South Penn Campus