Official Transcript Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please allow 5-10 business days, not including Holidays or weekends for request to be fulfilled.

First & Last name you had when enrolled at PAHS *

Birthdate *

YYYY

What year did you graduate OR attend PAHS? *

What is your current email address? *

What is your current phone number?

What is your current street name and number?

City

State

Zip Code

Where would you like your transcripts sent? Please include a full address *

Full address includes: Name of who or where transcript is being sent, street address,city, state, and zip code

Do you have another place where you would like to send your transcript?

Yes

Clear selection

If you answered yes to the question above, please enter information here.

Any other special request regarding your transcript?

Please allow 5-10 business days for request to be fulfilled.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Peoria Accelerated High School.

Does this form look suspicious? Report