Transcript and Record Request Form
Student's Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Current Grade
*
Your School's Name
*
School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Phone
*
Format: (000) 000-0000.
Name of Person Completing This Request
First Name
Last Name
Position Title
Email
Email address to contact you
Oakdale Christian Academy requests:
A transcript of student's grades
Current course listing with grades
Withdrawal date (if applicable)
Attendance record
Copy of standardized testing results
Disciplinary report
Copy of any special education records/ IEP
Health and Immunization records
Any other pertinent information
Please attach the requested information using the following link, or return the information via traditional mail or fax to:
I am submitting the requested information via (check all that apply):
*
Electronically, linked below
Separate email
Fax
Traditional Mail
Other
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