Transcript Request Form Graduating before 1/1/2012

Transcript Request Form Requires Payment When Submitted

Complete form below to request your transcripts. All sections with a red star must be completed or the form will not be transmitted. When you transmit the form you'll be required to make payment. If payment is not received then the form will be deleted.
First Name:
Last Name:
E-mail:
Phone Number

Area CodePhone Number
Your Current Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Social Security Number:
Date of Birth:
What School/Employer are we mailing the transcript to?

Complete the address section below. The address below is the address of where we will be sending the transcript to. You're responsible to make sure that the address is correct as we DO NOT verify addresses.
Name of place where we're sending the transcript, Ex: FIU
Name of Person or Department
Address of where we're sending the transcript:

Street Address

Suite, Room, or Department

CityState / Province

Postal / Zip CodeCountry
Payment Information

Payment is required whether the request is for unofficial or official transcripts. If you have a balance on your account, no transcript will be mailed.
My Products
prevnext( X )
Non Refundable 5 business days Transcript Request$50.00

Non Refundable 24 hours Transcript Request$150.00

Total $0.00
Transcript Request Agreement

You must read, agree, and check the below listed box before we can process your request.
Agreement:

: I agree to the release of my information as described above, I agree to be bound by the student handbook. I agree that transcript request fees are earned when this form is received and transcript request fees are non refundable. I agree that if I have a balance, transcripts will not be released. My signature indicates that World Hope Academy may charge the amount listed on this form to the credit card number provided. I agree that all credit card payments used on this form are for transcript request fees and these fees are earned when this form is received and these credit card fees are final and non refundable. A copy of this form shall serve as original.
Should be Empty:

Transcript Request Form Requires Payment When Submitted

What School/Employer are we mailing the transcript to?

Payment Information

My Products*

Transcript Request Agreement

My Products