PGCAH Transcript Request Form

PGCAH Transcript Request Form

Formerly SHABACH! Christian Academy Homeschool | 301-772-8591 (Phone) | www.scahomeschool.net
Name of Student*

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

First NameLast Name
Name of Parent/Guardian 2

First NameLast Name
Best Email Address (will appear on transcript)*
example@example.com
Best Contact Number (will appear on transcript)*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student's Current Grade Level*
3rd, 4th, 7th, 9th, 10th, 11th, etc
If graduated, please list the year you graduated from SHABACH!/PGCAH
2022, 2021, 2020, 2019, etc
Date Student Started Oversight with SHABACH! Christian Academy Homeschool/Prince George's Christian Academy Homeschool*

MonthDayYear
Date
Date Student Ended Oversight with SHABACH! Christian Academy Homeschool/Prince George's Christian Academy Homeschool (if your student is still under our oversight, you may skip this question).

MonthDayYear
Date
Which type of transcript are you requesting?*

Official ($10 fee for each transcript needed)Final Senior Transcript ($10 fee for each transcript needed)Unofficial
For what purpose are you requesting transcripts?*

College AdmissionsElementary/Middle/High School Admissions/TransferScholarship OpportunityEmployment ReasonsPersonal ReasonsOther
Where would you like your transcripts to be sent? The following information is required: institution name, contact person and/or department, and address or email address. Please, double-check to make sure the information is correct. Incorrect information will delay the process. If the transcripts are being sent to you for personal use, please provide your mailing address or an email 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(s) accept transcripts electronically? (If so, please make sure you provided either an email address or an electronic portal address/link in the box above.)*

YesNo
Does the Institution(s) accept electronic signatures?*

YesNo
Do you want this transcript sent to Common App? If yes, and you only want it sent to Common App, then you will only need to pay a $10 fee (even if it is for multiple schools that are on Common App).*

Yes, only to Common App.Yes, but the transcript also needs to be sent to other schools/organizations.No.Not Applicable
Transcript Due Date

MonthDayYear
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 all of the criteria have been met:

1) Both transcript request form and payment* of $10 per request is submitted (via the payment link).

2) A copy of my receipt is sent to info@scahomeschool.net.

3) All previous school(s) transcripts have been submitted.

4) All quarterly grade reports have been submitted, if applicable.
Signature*
Date*

MonthDayYear
Date
Please allow 2-3 weeks for processing as outlined in the homeschool handbook.

* Fees must be paid at the time of the request through PGCA Payment Link or FACTS. For PGCA, 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 "What is this payment for" field. Submit a copy of the receipt to info@scahomeschool.net. For FACTS, go to your FACTS account and select Transcript Fee.
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