EVA Official Transcript Request Form
Student Information
Student Full Legal Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Graduation Year or Expected Graduation Year
*
Please Select
2024
2025
2026
2027
2028
2029
2030
Current Student or Graduate?
*
Please Select
Current Student
Graduate
Requesting Institution
College/University Name
*
Admissions Office Email Address
*
Confirmation Email
example@example.com
Mailing Address (if applicaple)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Application ID Number (if applicable)
Transcript Type
*
Please Select
Midyear Transcript
Final Transcript
Authorization
I authorize Exceptional Village Academy to release my academic records to the institution listed above.
*
Yes
No
Electronic Signature of Parent/Guardian or Student (if 18 or older)
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: