Transcript Request Form
DO NOT RETURN THIS
FORM WITH THE APPLICATION. It is to be
mailed or delivered to your child’s current school.
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 _____/_____ /_____ Current Grade Level ___________
FEDERAL LAW REQUIRES A SIGNED PARENTAL REQUEST BEFORE TRANSCRIPTS CAN BE RELEASED: I authorize the release of my child’s official transcript for the 2007 – 2008 school year and the current records for the 2008-2009 school year.
_________________________________ ________________________
Signature of Parent(s) / Guardian (s) Date
NOTICE TO SCHOOL OFFICE:
Please mail a COPY of the official transcripts, including standardized
test scores for the 2007 – 2008 school year and the current records for the
2008 – 2009 school year. We do not
need shot records, birth certificates, letter of recommendation, etc. at
this time. Contact Deborah Kicker at
the PCA office for any questions at 334-285-0077. Our fax # is 334-285-1777. Transcript copies should be mailed to: