RHLS Alumni Transcript Request Form
Authorization for Release of Records

This authorization, when submitted, will become part of the applicant's permanent record pursuant to Public Law 93-380. Please complete this request form to request copies of your transcripts and/or records.

  • Please note, only unofficial transcripts will be sent to private addresses.
  • Transcripts will be processed once per week in the months of June, July and August.
  • Please be sure to complete all of the information. If request is incomplete, transcripts will not be sent.
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Email *
First Name *
Last Name *
Email Address *
Phone Number *
Last name at graduation (if different from current last name)

Street Address  *
City State, Zip *
Please send Transcript
Institution email address for transcript to be sent if not sending via mail. 
Birthdate *
Graduation Year *
Name of Institution you would like transcript to be sent to.
Street Address of Institution
Institution - City, State, Zip
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