Clinton Community College

Request for Transcript Evaluation

Once you complete the form, the results will be emailed to the Registrar's Office and a copy will be sent to the email address you provide below.

Asterisk (*) indicates a response is required.

Date and Time: Sunday October 24, 2021 17:26
* First Name:

* Last Name:

* Email:     
Student ID:
If you do not know your student id number go to and log into EICC Connect. Once you are logged into EICC Connect, your student ID will appear in the top right corner.
* Address:

* City:

    *Zip: *Phone:
List other names you have used on incoming transcripts:

*List all Colleges/Universities for Evaluation:

If you have requested an evaluation of multiple transcripts, all transcripts must be received before the evaluation will be completed.
Please separate multiple college names with commas.

* Check the one that applies; the transcript(s):
should be in my file.
have been requested by me from the school(s) as of date (Enter as M/D/YYYY. Example: 12/2/2010)

* Did you attend CCC before 1981? Yes      No

* Is this a re-evaluation or a listing of a new concentration? Yes      No

* Check Degree:
Associate in Arts Degree in Liberal Arts
Associate in Science Degree in Liberal Arts
*Associate in Applied Science Degree
*Diploma Only
*Certificate Only

For an Associate in Applied Science Degree, Diploma, or Certificate, please indicate your major from this list:

Administrative and Office Support AAS (AO.C.AAS)

Administrative Support Diploma (AO.C.DPL)

Office Support Certificate (AO.C.CERT)

Computer Applications for the Office (AOCA.C.CERT)

Administrative & Office Support - AAS/MCC (AO.E.AAS)

Administrative & Office Support - DPL/MCC (AO.E.DPL)

Accounting & Office Support - CERT (AO.E.CERT)

Business Management AAS (BUMG.E.AAS)

Management Supervision Certificate (MS.C.CERT)

Marketing Certificate (MK.C.CERT)

Small Business Management Certificate (SB.C.CERT)

Entrepreneurship - Certificate (BUEN.E.CERT)

Dental Hygiene - AAS Degree

Advanced Emergency Medical Technician AAS (EMTADV.E.AAS)

Advanced Emergency Medical Technician Certificate (EMTADV.E.CERT)

Emergency Medical Technician Certificate (EMT.E.CERT)

Engineering Technology (ET.E.AAS)

Engineering Technology Electromechanical AAS (ETE.E.AAS)

Engineering Technology Process Control AAS (ETP.E.AAS)

Engineering Technology Diploma (ET.E.DPL)

Engineering Technology Basic Electronics (ETT.E.CERT)

Engineering Technology Basic Electricity (ETC.E.CERT)

Graphic Arts Technology -- AAS (GA.C.AAS)

Graphic Arts Diploma (GA.C.DPL)

Health, Safety and Environmental Technology AAS (HSET.S.AAS)

Health, Safety and Environmental Certificate (HSET.S.CERT)

Information Technology Networking AAS (ITN.C.AAS)

A+ Preparation Certificate (APREP.E.CERT)

Computer Repair and Help Desk Support Certificate (CRHD.E.CERT)

Wireless LAN Certificate (LAN.E.CERT)

Network Plus Prep Certificate (NPREP.E.CERT)

CISCO Networking CCNA Certificate (CCNA.C.CERT)

Mechanical Design Technology

CAD/Pro-Engineer-Diploma (MD.E.DPL)

CAD/Pro-Engineer-Certificate (MD.E.CERT)

Solid Modeling/Pro-E-Certificate (SMPE.S.CERT)

Mechatronics Technology AAS (MCT.C.AAS)

Mechatronics Diploma (MCT.C.DPL)

Nursing AAS (ADN.C.AAS)

Practical Nursing Diploma (PNE.C.AAS)

Physical Therapist Assistant (PREPTA.E.AAS)


Production Welding Certificate (PWE.C.CERT)

Technical Studies AAS (TS.C.AAS)

It is the policy of Eastern Iowa Community College District not to discriminate in its programs, activities, or employment on the basis of race, color, national origin, sex, disability, age, sexual orientation, gender identity, creed, religion, and actual or potential family, parental or marital status, as required by the Iowa Code §§216.6 and 216.9, Titles VI and VII of the Civil Rights Act of 1964 (42 U.S.C. §§ 2000d and 2000e), the Equal Pay Act of 1973 (29 U.S.C. § 206, et seq.), Title IX (Educational Amendments, 20 U.S.C. §§ 1681-1688), Section 504 (Rehabilitation Act of 1973, 29 U.S.C. § 794), and Title II of the Americans with Disabilities Act (42 U.S.C. § 12101, et seq.).

If you have questions or complaints related to compliance with this policy, please contact Debora J. Sullivan, Equal Employment Opportunity Officer/Equity Coordinator, Eastern Iowa Community College District, 101 West Third Street, Davenport, Iowa 52801, 563-336-3487, or the Director of the Office for Civil Rights, U.S. Department of Education, Citigroup Center, 500 West Madison Street, Suite 1475, Chicago, Illinois 60661-7204, phone number 312-730-1560, fax 312-730-1576,