Transcript Release Form
Federal Law, as of November 30, 1974, states that a student's records may not be released to a third party (1) if a student is under 18 years of age unless the parent(s) sign a release, (2) if a student is over 18 unless he/she signs a release. For each transcript request please complete the following information:
Email address *
I attended school as: *
First, Middle, Last Name -- Please be sure to use the name that would have been on your diploma.
Your answer
I Graduated/Withdrew from Foxcroft Academy in: *
Month/Year
Your answer
My Date of Birth is: *
Your answer
My Current Address: *
Street, City, State, Zip
Your answer
My Current Phone Number *
Please enter a complete phone number (including area code) where you can be reached in case we need to contact you for more information:
Your answer
My Email address:
If you have an email address we can use to contact you please enter it below.
Your answer
Check here for an email from the registrar when your transcript has been mailed.
Where should we send your transcript? *
A new release form should be created for each separate location. Keep in mind that most institutions require an official signed copy with a raised seal that that is received directly from our office in a sealed envelope. We reserve to option to deny requests of emailing electronic copies and this request should only be made if no other options are viable.
Send transcript to:
School, College, or Business Name
Your answer
Contact for mailing:
This may be the Admissions office, college counselor or a contact at your employment where we should direct your transcript.
Your answer
Complete Address for mailing:
Include the Street, City, State and Zip
Your answer
Phone number of the location for mailing:
Your answer
Fax Number:
If requesting Fax Option
Your answer
For Electronic Copy requests please indicate reason:
Email address for approved Electronic Copy Requests:
Your answer
Any other information we may need to process your request:
Your answer
I attest to the truthfulness of the information provided in this application. I understand that the transcript material includes a record of any special education services. I request that Foxcroft Academy release my transcript as described above. *
Enter Full Legal Name
Your answer
Date Submitted *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This form was created inside of Foxcroft Academy. Report Abuse - Terms of Service