Alumni Transcript Request

Alumni Records Request

Fill out this form to request your transcript or replacement diploma. Postage is required.
Transcript $10.00 (each) plus $1.00 postage

Replace Diploma $25.00 (each) plus $7.00 Postage

If you need tracking it will be $15.00 for postage.

We will not send items out that do not include correct postage.

ALLOW UP TO TWO WEEKS TO PROCESS.
Year Graduated
Name

First NameLast Name
Name used at TSA If Different

First NameLast Name
E-mail
example@example.com
Date of Birth

MonthDayYear
Date
This is a new address

YesNo (Do not fill out New Address Below)
Put the new address on my transcripts

YesNo
New Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Send my Documents to this address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name on the Diploma and Transcripts*
If you changed your name upload your State ID with the Name Change

Cancelof
Send Me both Official Transcripts.

YesNo
For REPLACEMENTS ONLY

I am requesting a DIPLOMAI am requesting a Transcript(s)I am requesting both
For REPLACEMENTS ONLY Transcript
NUMBER OF TRANSCRIPTS
For REPLACEMENTS ONLY Diploma
NUMBER OF DIPLOMAS
Send 1 Official Copy to a College or Job
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Send 2 Official Copy to a College or Job
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Any other Comments
Records
Do you need tracking? $15 Postage

YesNo

Amount Due*

USDDescription

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Amount Charged
Should be Empty:

Alumni Records Request