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Transcript & Information Request
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Email
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Your email
1. Student's Full Name (maiden name)
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Your answer
2. Date of Birth
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MM
/
DD
/
YYYY
3. Phone #
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Your answer
5. Records you would like sent
*
Transcripts
Health
ACT/SAT Scores
Attendance
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6. Year Graduated/Last Attended
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Your answer
Please send records by
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Fax
Email
Mailing
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Please provide email/mailing address or fax number of the school or person you'd like the transcript sent TO.
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If no
email/mailing address or fax number is provided, your request will be delayed.
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Signature of Requesting Person (must be requesting person, unless 17 years or younger)
I, the requester, of this Records Request, warrant the truthfulness of the information provided in this application.
Please type your First and Last Name
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I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
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