Language
English (US)
Spanish (Latin America)
Transcript/ACT Request
Alumni Full Name
*
First Name
Last Name
Date of Birth
*
ex. 01/01/2003
Phone Number
*
-
Area Code
Phone Number
Email
example@example.com
LEAD Academy graduation year?
*
05/2019
What are you requesting?
Transcript
ACT
Both
Which type of transcript are you requesting?
Official
Unofficial
For what purpose are you requesting transcripts/ACT?
College Admissions
Scholarship Opportunity
Employment Reasons
Personal Reasons
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How the Transcript/ACT will be delivered?
Mail
E-mail
Fax
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Please provide the institution name.
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If the transcripts are being sent by mail, please provide your mailing address.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Institution Email
example@example.com
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Fax Number
-
Area Code
Phone Number
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Name of person completing this form
*
First Name
Last Name
Take Photo of your Drivers License or College ID
*
Submit
Should be Empty: