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

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

ALLOW UP TO TWO WEEKS TO PROCESS.
Year Graduated
Name

First Name Last Name
Name used at TSA If Different

First Name Last Name
E-mail
Date of Birth

Month Day Year
Date
This is a new address

Yes No (Do not fill out New Address Below)
Put the new address on my transcripts

Yes No
New Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Send my Documents to this address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Name on the Diploma and Transcripts *
If you changed your name upload your State ID with the Name Change
Send Me both Official Transcripts.

Yes No
For REPLACEMENTS ONLY

I am requesting a DIPLOMA I 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

City State / Province

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

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Any other Comments

Add All Your Fees and place in the box *

USD Description

Alumni Records Request