high school degree

Final Transcript & Diploma NOTICE: Please allow 5-7 days for your transcript request to be completed and 3-5 weeks for your diploma to be delivered. Last Name:

First Name:

MI:

DOB:

Name Change (Former Name):

Day Telephone Number:

FAX:

Full Current Address:

City:

State, Zip Code:

Email:

Are you seeking NCAA Initial Eligibility Requirements (Student athletes only):

Last School Attended:

City:

Official Transcript (FREE)

Diploma Delivery (FREE):

Mail to: ______________________________________________

Mail to: _________________________________

______________________________________________

_________________________________

Yes

Unofficial Transcript (FREE)

No State, Zip Code:

Additional Official Transcript: ($10.00)

1.

Fax: ____________________________________

2.

Email: ___________________________________

Mail To: ____________________________________________ _____________________________________________

I authorize Forest Trail Academy to charge my credit card on file for $10.00 for an additional official copy of my transcript. Parent Signature: ___________________________________________________________ If you would like to use a new credit card, please complete the authorization form below: Name on Card: Credit Card Type: Credit Card Number: ________-________-________-________ Expiration Date: ______/______ CVV: _________ Billing Address: Street Address

City

Apt#

State

Zip Code

Signature_____________________________________________________________ Date _____/_____/_______ (if under 18, parent/guardian must sign) © 2007 Forest Trail Academy, LLC d/b/a Virtual High School of Excellence | Forest Trail Academy, LLC d/b/a Forest Trail Academy

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