Transcript Request Form

HVA Transcript Request

Highland View Academy policy states that transcripts cannot be released until the student account has been cleared. If your transcript cannot be released at this time, you will be notified at the address you have provided. For questions regarding your account please contact the HVA Business Office at (301)739-8480 ext. 233.
Full Name *

First Name Middle Name Last Name
Name While Attending HVA (If Different)
Name at time of Graduation
Current Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
E-mail *
Date of *
*
Year
Please forward my transcript to: *
School or Company
Attention: *
*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Additional Instructions
By signing below I authorize Highland View Academy to release my transcripts to the institution named above.
Electronic Signature *

Must be 18 yrs or older to sign. 0/5
Payment
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Transcript Request $ 10.00

Please select the number of copies you would like to be sent. This applies to sending a transcript to more than one school.

Total $ 0.00
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HVA Transcript Request