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High School Transcript Request Form
When requesting an official high school transcript, please submit this Google Form to the Academy Office.
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* Required
Student Name
*
Your answer
Student's Graduation Year
*
Your answer
Name of College/University
*
Your answer
Mailing Address and Specific Contact Person at the College/University (if mail is the preferred method of delivery)
Your answer
Fax Number (if fax is preferred method of delivery)
Your answer
Email Address and Contact Name at the College/University (if email is preferred method of delivery)
Your answer
Check ALL that Apply:
*
Mail Transcript Only
Email Transcript Only
Fax Transcript Only
I need to talk to Mrs. Goldstrom regarding this transcript request
Other:
Required
Authorization of Student
I authorize Harvest Baptist Academy to release my school records to the above mentioned institution or individual. I understand that transcripts are mailed once a week.
Digital Signature of Student
*
Your answer
Phone number to use to contact student if HBA has questions:
*
Your answer
Date of Request
*
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