Kelley Volunteer Academy Transcript Request Form

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Please fill out this form in its entirety to ensure your transcript request can be processed in a timely manner

Last Name: *

First Name: *

Age: *

Class of ____? *

Birthdate *

YYYY

Phone Number *

Current Email Address *

Choose one option: *

College 1 (or) Employer: *

College 1 (or) Employer Address:

Are you applying to College 1 via the Common App? *

College 2 (or) Employer:

College 2 (or) Employer Address:

Are you applying to College 2 via the Common App? *

Do you wish for your college choices to be provided with the following additional items? Please check all that apply. *

Transcript of courses and grades

ACT Scores

SAT Scores

Copy of Current Schedule

School Profile

Secpndary School Report

Other -- If checked, please provide details below

Required

Please provide details below if you checked "Other" above:

To ensure that we send all ACT/SAT scores that are currently available to us, please list the date of your last test below: *

Does the application require that a counselor recommendation? *

Yes

Please choose an option below: *

YOU MUST SUPPLY A "Student Profile Sheet/High School Resume" TO THE COUNSELOR IF YOU NEED A RECOMMENDATION LETTER AT LEAST *TWO WEEKS* IN ADVANCE OF WHEN YOU WANT IT SUBMITTED

Send transcript no without the Counselor Recommendation Letter

Wait to send transcript without the Counselor Recommendation Letter

Please type your Full Legal Name below to complete the KVA Transcript Request Form *

By typing my FULL LEGAL NAME below, I request the KVA Office to mail to the institution(s) above my official transcripts and/or test scores. I understand that this information is confidential, and I hereby waive any rights I may have to review it's content.

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