Transcript Request Form
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Email *
Date of Birth *
MM
/
DD
/
YYYY
Last Name *
*The name that would be listed on your transcript from when you were in high school.
First Name *
Phone Number *
Graduation Year *
Where would you like your transcript to be sent?
Do you want your ACT score(s), if available, included on your transcript?
Clear selection
Special Instructions:
(ex: mailed--provide mailing address; faxed--include fax #; emailed--include email address, mail, etc)
Submit
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