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Transcript Request Form
Current & Former students may request an official transcript for business purposes only by completing this transcript request form. PLEASE ALLOW 72 BUSINESS HOURS FOR YOUR REQUEST TO BE FILLED. It is important to NOTE that student records, including the academic transcript, are protected by the FERPA Privacy Act. If 18 or older, ONLY the student may request a copy of his or her transcript. Family and friends are not permitted access to student records without the written consent of the student.
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* Indicates required question
Full name of Student
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Your answer
Graduation Year: Please put the year you graduated or will graduate in the text below.
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Your answer
Date Needed
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MM
/
DD
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YYYY
Purpose of Request: College Application, Military Request, Insurance, Scholarship, Transfer, Summer Program, etc. (You can always check your transcript and GPA in Naviance.)
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Choose
College Application Completed
Military Request
Scholarship
Insurance verification
Summer Program
Transfer to Different HS
Other
Name of School or Person needing the Transcript AND Email/Mailing address (please provide an actual address or Email address) If this section is not filled out we cannot process your request.
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Your answer
PARENT NAME if under 18 or type N/A if over 18 : I authorize Trivium Preparatory Academy the release of my child's transcript pursuant to the Privacy Act of 1974 (5 U.S.C. 552a)
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Your answer
STUDENT NAME if over 18 or type N/A if under 18: I authorize Trivium Preparatory Academy to release my transcript pursuant to the Privacy Act of 1974 (5 U.S.C. 552a)
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Your answer
Your Email Address
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Your answer
Phone number
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Your answer
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