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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Student's Graduation Year
Name of College/University
Mailing Address and Specific Contact Person at the College/University (if mail is the preferred method of delivery)
Fax Number (if fax is preferred method of delivery)
Email Address and Contact Name at the College/University (if email is preferred method of delivery)
Check ALL that Apply:
Mail Transcript Only
Email Transcript Only
Fax Transcript Only
I need to talk to Mrs. Goldstrom regarding this transcript request
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
Phone number to use to contact student if HBA has questions:
Date of Request
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This form was created inside of Harvest Baptist Academy.