Alum / Former Student: Transcript Request Form

Transcript Request Form

Alum and Former Students
Alum and Former Students:

If you are age 18 or older, your transcript, any school records, or education verification will only be released with your approval.

Records requests for former students under the age of 18 require the approval of a parent/guardian.
Requestor Information
Who is requesting the transcript(s)

I am a former student/Alum of UPrep, age 18 or older.I am a parent/guardian of a former UPrep student who is under 18 years old.
Student Information
Student legal first name and last name when attending UPrep*

First NameLast Name
Student date of birth*

MonthDayYear
Birth Date
Requesting:*
Third party email
example@example.com
Third party address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Notes: Please note any additional information needed to complete your request. For example: Additional emails or addresses if requesting delivery to more than one third party.
Please email a copy of my request to:
example@example.com
Submitted by:*

First NameLast Name
Signature*

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Completed Date - Internal

MonthDayYear
Date
Should be Empty:

Transcript Request Form