Transcript Request Form

Transcript Request Form
Name of Student *

First Name Last Name
Date of Birth *
ex. 01/01/2003
Name of Parent/Guardian 1 *

First Name Last Name
Name of Parent/Guardian 2

First Name Last Name
Best Email Address (will appear on transcript) *
example@example.com
Best Contact Number (will appear on transcript) *
Please enter a valid phone number.
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Student's Current Grade Level *
ex. 2019
Date Student Started Oversight with Shabach! Christian Academy Homeschool *

Month Day Year
Date
Which type of transcript are you requesting? *

Official Unofficial
For what purpose are you requesting transcripts? *

College Admissions Elementary/Middle/High School Admissions/Transfer Scholarship Opportunity Employment Reasons Personal Reasons Other
Where would you like for your transcripts to be sent? Please provide the institution name, contact person and/or department, and address or email address. If the transcripts are being sent to you for personal use, please provide your mailing address if different from above. *
Name and Mailing Address Needed; If institution accepts transcripts electronically, please include the email address or the electronic portal address, website, or link.
Does the institution accept transcripts electronically? (If so, please make sure you provided either an email address or an electronic portal address/link in the box above.) *

Yes No
Does the Institution accept electronic signatures? *

Yes No
Transcript Due Date

Month Day Year
Date
I certify that I am the parent or legal guardian of the above-named student.

I certify that I am in good standing financially as well as with my assigned Reviewer - reviews and grade reports are up to date.

I understand that my request will not be processed unless both transcript request form and payment* of $10 per request is submitted and a copy of my receipt is sent to info@scahomeschool.net.
Signature *

Clear
Date *

Month Day Year
Date
Please allow 3 weeks for processing as outlined in the homeschool handbook.

* Fees must be paid at the time of the request through Givelify. Please follow the directions found on our website (scahomeschool.net) under application process > Pay Fees button. You will need to indicate this is for Homeschool Transcript + Student's First and Last Name in the message field.
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