PCS Official Transcript Request Form
Please:
• Complete separate forms for each request
• Allow 2-3 business days for transcript requests to be filled.
• ACT/SAT scores are not included on transcripts.

 *Pathways will not release official transcripts without a signed request by student and/or parent or guardian if student is under 18. Pathways Charter school is not responsible for transcripts that are lost or delayed in shipping. Failure to provide complete information may delay or prevent processing.

*Transcript Requests will not be processed during the month of July. Processing will resume in August.*
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Email *
Student Name *
Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Contact Phone Number *
IST (if known)
Graduation Year *
Reason for transcript request *
Please check only one per request, and submit additional request forms if needed.
Recipient Name *
If applicable, list college or scholarship
If currently enrolled with Pathways, would you like current classes listed on your transcript?
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Method of Delivery *
Email Address *
Fax Number
Mailing Address
For recipient, if requested via mail.  Please enter complete mailing address, including street number and name, city, state, and zip code. Incomplete mailing addresses will result in a delay or inability to complete the request.
Mailing Address (Additional)
If you would like an additional copy sent directly to you. Please enter complete mailing address, including street number and name, city, state, and zip code. Incomplete mailing addresses will result in a delay or inability to complete the request.
Student or Parent/Guardian Authorization *
 *I CERTIFY THAT I AM THE STUDENT or PARENT/GUARDIAN AS STATED. THE INFORMATION PROVIDED IS TRUE AND CORRECT IN ALL RESPECTS. I HEREBY AUTHORIZE Pathways Charter School TO RELEASE TRANSCRIPTS AS INDICATED.  Type name below as electronic signature (Electronic signature  is required)
A copy of your responses will be emailed to the address you provided.
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