Student Transcript Request

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General Information

Calvary Chapel Christian School (CCCS) Registrar maintains the archiving of educational records for all CCCS students. Academic records are maintained in perpetuity and special education records are maintained until the student reaches age 28.

Per school policy and the Family Educational Rights and Privacy Act (FERPA) student records are only available to those who have authorization from the student or parent, guardian or responsible person if the student is under 18 years of age. If the student is 18 years of age or older, school records will not be released to a parent, guardian, or responsible person without the student’s written consent.

Any inaccurate information may result in your record not being processed.

Please Select One *

Current Student Alumni

Student's Name

First Name Last Name

Date of Request:

Date

Students Email

example@example.com

I understand that there is no cost for the first 3 transcripts requested. For each additional transcript there is a $5.00 charge per transcript. I also understand that transcripts will be sent or made available for pick up approximately One week after this form is turned into the HS office.

I hereby request an official transcript be released to the following education institution(s):

1. College/University Name:

To the ATTN of

Please send by

Mail Email Fax

Email Address:

example@example.com

Fax Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Please DO NOT include my SAT/ACT scores

2. College/University Name:

To the ATTN of

Please send by

Mail Email Fax

Email Address:

example@example.com

Fax Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Please DO NOT include my SAT/ACT scores

3. College/University Name:

To the ATTN of

Please send by

Mail Email Fax

Email Address:

example@example.com

Fax Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Please DO NOT include my SAT/ACT scores

I hereby request that an official transcript be made available to be picked up at the HS Office.

Person Authorized for pickup

First Name Last Name

Relationship to student

Email

example@example.com

Phone Number

Please enter a valid phone number.

Please DO NOT include my SAT/ACT scores

Student's Name

First Name Last Name

Graduating Year

Date of Request:

Date

Alumni Email

example@example.com

Phone Number

Please enter a valid phone number.

There is an $8.00 charge per transcript. Transcripts will be sent or made available for pick up approximately one week after forms are received in the HS Office.

Valid ID needed. Attach a copy of picture ID for Verification purposes.

File Upload

I hereby request an official transcript be released to the following education institution(s):

1. College/University Name:

To the ATTN of

Please send by

Mail Email Fax

Email Address:

example@example.com

Fax Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

2. College/University Name:

To the ATTN of

Please send by

Mail Email Fax

Email Address:

example@example.com

Fax Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

3. College/University Name:

To the ATTN of

Please send by

Mail Email Fax

Email Address:

example@example.com

Fax Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

I hereby request that an official transcript be made available to be picked up at the HS Office.

Person Authorized for pickup.

First Name Last Name

Relationship to student

Email

example@example.com

Phone Number

Please enter a valid phone number.

Pay Here

USD Description

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

College 1

College 2

College 3

Calculation

Enrolled Student Transcript Request Form

Mail/Email/Fax:

Pickup Request:

Mail/Email/Fax:

Pickup Request: