Madison Academy Transcript Request
For Current MA Students, please submit your request through www.parchment.com or visit the Counselor's Office.
CURRENT CONTACT INFORMATION
Student Current Name:
*
First Name
Last Name
Student's Current Phone Number:
*
Student's Current Email Address:
*
Student's Current Mailing Address:
*
TRANSCRIPT INFORMATION
Student's Full Name at time of Graduation (or last attendance)
*
First Name
Middle Name
Last Name
Year of Graduation (or Year of Last Attendance):
*
Student's Date of Birth:
*
mm/dd/yyyy
Please Enter Last 4 digits of SS# for ID verification:
*
Reason for Request
*
College
Business/Job
Personal Use
Other
Please specify type of Transcript requested and Method of Delivery:
*
Official -- Transcript will be mailed to college address specified below.
Unofficial -- Transcript will be mailed to business address specified below.
Unofficial -- Transcript will be emailed to student.
Please Specify Address for Mailing Transcript or Enter "None" if Unofficial Transcript is to be emailed or specify if transcript is to be picked up at school:
*
Additional Comments/Instructions:
If you need further assistance, please contact the Registrar in the Madison Academy school office at 256-469-6400.
(NOTE: An official electronic transcript may be requested through www.Parchment.com.)
Madison Academy, 325 Slaughter Road, Madison, AL 35758
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