SELCAT to AJATC Transfer of Records Form
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Date of Birth
*
Last 4 digits of your Social Security Number
*
Dates Attended:
From Date
*
-
Month
-
Day
Year
Date
To Date
*
-
Month
-
Day
Year
Date
All transcript requests will be sent via e-mail unless otherwise noted on this request. In order to process your request, we will need a copy of your driver's license submitted along with this request. If you do not submit a copy of your driver's license with your request, it will not be sent to you.
My signature below is my acknowledgement that I wish for SELCAT to release any necessary documents regarding my apprenticeship to the AJATC indicated below.
*
Please Select
NEAT
ALBAT
SWLCAT
MOVALLEY
MSLCAT
AJEATT
CAL/NEV
NWLINE JATC
LUMA
Signature
*
Date
*
-
Month
-
Day
Year
Date
Please upload a photo of your Driver's License
*
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