Transcript Request Form - Summer Program

Required

Namerequired

First Name

Last Name

Email Address:required

Please send my transcript to the following:

Name of College or Individual:

Email Address

Address Line 1:

Address Line 2:

Address Line 3:

City:

State:

Zip:

Deadline Date:required

Must contain a date in M/D/YYYY format

Application Type:required

Priority

Regular

Date I did or will file my application:required

Must contain a date in M/D/YYYY format

Please check if you want your current report card be sent. required

Yes

Please indicate below for additional request:

WAIVER: The Family Education Rights and Privacy Act of 1974. The Counselor Recommendation and the Secondary School Report are to be used as a reference for admission purposes. As currently interpreted by the Department of Education, the Act provides that applicants who subsequently enroll will have a right to inspect and review these evaluations if they are retained, unless the right is waived in writing. Please indicate your preference:

Waiver Response:required

I do waive the right to review these documents

I do not waive the right to review these documents (Selecting this option prevents us from sending your official transcripts on your behalf. )

Applicant's Signaturerequired

Entering your name in the above field indicates a signature on this form.

Transcript Request Form - Summer Program

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