Transcript Request Form
MAIL OR _____________________________________
DELIVER TO: Principal or Counselor at
_____________________________________
Name of
_____________________________________
Address of
_____________________________________
City, State and Zip
Applicant’s Legal Name (PLEASE
PRINT OR TYPE)
Last Middle
Initial First
Applicant’s Social Security Number ________________________________________
Date of Birth _____/_____ /_____ Grade Level Applied For ___________
NOTICE TO SCHOOL OFFICE:
Please mail the official
transcripts, including standardized
test scores for the 2007– 2008 and the 2008 – 2009 school year. We need shot records, birth certificates, letter of recommendation, IEP
Reports, Discipline Reports, Attendance Reports, etc. also. Contact Deborah Kicker at the PCA office
for any questions at 334-285-0077. Transcript copies should be mailed to: