Transcript Request

This transcript release form is intended to be used for transcripts from schools that have closed. Schools that are still open should be contacted directly for transcript requests.

Public Law 93-380, known as the Family Educational Rights and Privacy Act of 1974, requires that the school may not disseminate any student information without written approval of the parent/guardian and high school student.

"*" indicates required fields

NAME*

First Last

NAME ON TRANSCRIPT, IF DIFFERENT FROM ABOVE

First Last

DATE OF BIRTH*

ADDRESS*

Street Address Address Line 2 City State ZIP Code

SCHOOL*

YEAR OF GRADUATION*

TELEPHONE*

EMAIL*

Name and address of institution(s) transcript is to be forwarded to*

IF A TRANSCRIPT CAN BE EMAILED, PLEASE PROVIDE THE INSTITUTION'S EMAIL ADDRESS

I hereby give permission to release my transcript, including my SAT scores, to the institution(s) above.*

Date*