Student Document Request Form

Student Document Request Form

Submit your details and select the documents you need, including delivery preference and any required verification information.To make a payment, please contact Infinity College at 337-261-9009.
Student Information
Request Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Student Full Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Program of Study
Enrolled / Graduated / Dropped / Withdrew ?
Your current status
Requested Documents and Pricing
Requested Documents (copies are $2 per document; financial records are $2 per page)

Other
Financial Record Type (if requested)
Number of Financial Record Pages (if requested)
Pricing: $2 per requested document, or $2 per page for financial records. Financial record page count is used to determine its informational cost.
Delivery and Pickup
Delivery Preference
Mail To Address (if mailing)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Attention to Whom or Department (if mailing)
Preferred Document Pickup Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Pickup is available after 10:00 AM.
Identity Verification

Student records are confidential, and transcripts are issued only at the written request of the student. They are normally processed within five business days. Transcripts, CPR Card, and diploma will not be released if you have a past due balance with Infinity College.Identity Verification-- Please email your ID to: frogers@infinitycollege.edu
Identity Document Type
Identity Verified
Staff Use Only
Date Processed (Staff Only)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Processed By (Staff Only)

First NameLast Name
Received By (Staff Only)

First NameLast Name
Balance Due? (Staff Only)
Amount Due (Staff Only)
Date Verified (Staff Only)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Student Document Request Form

Student Information

Requested Documents and Pricing

Delivery and Pickup

Identity Verification

Staff Use Only