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Official Transcript Request Form
Student Information
Student First Name
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Student Middle Name
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Student Last Name
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Student Maiden Name and/or Previous Last Name
Student Date of Birth (YYYY-MM-DD)
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Student Social Security Number
Students Estimated date of graduation (Example: YYYY-MM 2011-05)
Faith Academy Campus the Student Last Attended
Faith Academy Campus the Student Last Attended
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Faith Academy (Suwanee/Buford, GA)
Faith Academy (Conyers, GA)
Faith Academy (Des Moines, IA)
Faith Academy (Loganville, GA)
Faith Academy (Stockbridge, GA)
Faith Academy (Locust Grove, GA)
Faith Academy ONLINE
Student Current Mailing Address
Student Current Mailing Address
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Student Current City
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Student Current State
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Student Current ZIP Code
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Student Current Phone Number
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Number of colleges or other schools you are requesting transcripts sent to
Number of Transcripts being requested. The cost is $5.00 per transcript request.
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1 College/Other School Transcript Request Fee $5.00
2 Colleges/Other Schools Transcript Request Fee $10.00
3 Colleges/Other Schools Transcript Request Fee $15.00
(1) (First) College or other school address and Fax number transcript should be sent to
College/School Name:
The Name of the College or school you want the Official Transcript mailed to
*
Mail To Address:
The address of the College or school you want the Official Transcript mailed to
*
Mail to College/School:
City
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Mail to College/School:
State
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Mail to College/School:
Zip Code
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College/School Fax Number
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Do you want the Official Transcript Mailed, Faxed or Both
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Only Mailed (I have provided correct College/School mailing address)
Only Faxed (I have provided the correct College/School fax number)
Both - Mail and FAX (I have provided the correct College/School mailing address and fax number)
(2) (Second) College or other school address and Fax number transcript should be sent to
College/School Name:
The Name of the College or school you want the Official Transcript mailed to
*
Mail To Address:
The address of the College or school you want the Official Transcript mailed to
*
Mail to College/School:
City
*
Mail to College/School:
State
*
Mail to College/School:
Zip Code
*
College/School Fax Number
*
Do you want the Official Transcript Mailed, Faxed or Both
*
Only Mailed (I have provided correct College/School mailing address)
Only Faxed (I have provided the correct College/School fax number)
Both - Mail and FAX (I have provided the correct College/School mailing address and fax number)
(3) (Third) College or other school address and Fax number transcript should be sent to
College/School Name:
The Name of the College or school you want the Official Transcript mailed to
*
Mail To Address:
The address of the College or school you want the Official Transcript mailed to
*
Mail to College/School:
City
*
Mail to College/School:
State
*
Mail to College/School:
Zip Code
*
College/School Fax Number
*
Do you want the Official Transcript Mailed, Faxed or Both
*
Only Mailed (I have provided correct College/School mailing address)
Only Faxed (I have provided the correct College/School fax number)
Both - Mail and FAX (I have provided the correct College/School mailing address and fax number)
Parent/Legal Guardian Digital Signature
By checking the box below, I certify that I am the student(18 years of age or older) or parent/legal guardian of the student and authorized to request this information. Official Transcripts can only be mailed to other colleges or schools.
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I am authorized
By checking this box I agree to pay the 3.0% convenience fee + $0.63 Postage fee.
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3.0% convenience fee + $0.63 Postage fee