ORLA Transcript Request form
ORLA Students current and former please complete the form below
Email address *
Name while at ORLA *
Your answer
Year Graduated/Last Attended ORLA *
Your answer
Birthday *
MM
/
DD
/
YYYY
Contact Phone Number (For questions) *
Your answer
Where would you like the transcript(s) sent? Name and Address
Please enter at least one response. One Name/Institution & Address per line.
Transcripts can not be emailed, however they can be Faxed if a number is provided
If you would like to pick it up at OHS -enter the words" Pick Up" in this field
Where would you like the transcript(s) sent? Name and Address *
Your answer
Where would you like the transcript(s) sent? Name and Address
Your answer
Where would you like the transcript(s) sent? Name and Address
Your answer
Where would you like the transcript(s) sent? Name and Address
Your answer
Signature of Requesting Person
(must be requesting person unless 17 years or under)
I, the requester, for this Transcript Request, warrant the truthfulness of the information provided in this application.

I acknowledge and agree to the above Terms of Acceptance.
Please type your First and Last name *
Your answer
I understand that checking this box constitutes a legal signature. *
Transcript(s) will be processed within 3 school days
Questions? Contact ORLA Program Manager/Registrar at 360.596.7730 or kajohnson@osd.wednet.edu
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