Headwaters Records & Transcript Request Form
Complete this form to have records sent to yourself or another institution.

PLEASE NOTE NO TRANSCRIPTS WILL BE PROCESSED THE WEEK OF JULY 4TH. ALL CAMPUSES WILL BE CLOSED.

Please allow 1-3 business days for processing, 5-10 business days during June-August. You will receive an email confirmation that your transcript has been prepared and is ready for pick-up or is in the mail.

If you have any questions, please reach out to registrar@headwaters.org.
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Email *
Phone Number *
Student Full Name (when at Headwaters) *
Graduation year *
Records Requesting *
Please select all that apply.
Required
Name and Full Mailing Address of institution or person records to be sent to: *
Please include name, address, city, state, zip. Enter "N/A" if requesting an emailed copy.
Optional Additional Address(es)
If you would like a transcript sent to additional institutions please list the institution name(s) and complete addresses here (name, address, city, state, zip). If the information is not complete the records may not reach your desired location. Also please specify here if you are requesting records other than a transcript.
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A copy of your responses will be emailed to the address you provided.
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