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Corporation/Institution/Agency Request past Student Transcript

This form is only to be used by Institutions, Corporations, or Agencies seeking to obtain an official transcript for a past student.

We will attempt to fulfill requests in the order they are received; generally within 15 business days. On occasion, retrieval is more difficult. Delays may be experienced in retrieving records prior to graduation year 2000 or during days other than normal day school operations. Please plan accordingly when placing your orders.

Chelsea CTE High School fully complies with The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. § 1232g; 34 CFR Part 99).

Former Student Information
- In order to obtain an official transcript, please complete the form entirely. The transcript will be emailed to the email address indicated by the payee.
  
  If you are NOT an Agency, Corporation, or Institution requesting a transcript for a former Student of Chelsea CTE, please EXIT NOW.
- Please enter information for the former student who's transcript you're requesting.

First Name*

Former Student's First Name

Answer required for "First Name"

Last Name*

Student Last Name while in High School

Answer required for "Last Name"

Date of Birth*

Format: MM/DD/YYYY

Answer required for "Date of Birth"

Years of Attendance*

Example: 2010 - 2014

Answer required for "Years of Attendance"

Requestor's Information

Name of Institution, Corporation, or Agency*

Answer required for "Name of Institution, Corporation, or Agency"

Requestor Name*

What's the name of the individual requesting this information

Answer required for "Requestor Name"

Email of Requestor*

Email Address of the individual requesting information

Answer required for "Email of Requestor"

Telephone Number*

This should be a Business Number

Number Required

Please attach supporting documents for this request

Answer required for "Please attach supporting documents for this request"

Choose a file or drag it here.

By submitting your electronic signature and submitting your request, you agree to use the former student's information in a legal, and respect the privacy rights of the former student.*

Signature Required

Delivery Information(What email addess are we sending the transcript to?)

Email Address 1*

Answer required for "Email Address 1"

Email Address 2

Answer required for "Email Address 2"

Physical Delivery Information(Where do you want the Transcript to be mailed to?)

Please enter your address if you would like a physical copy of the Official Transcript.

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Payment Information

Cost for Transcript Request: $10*

The minimum cost per transcript request is $10 but feel free to pay more if you'd like to donate to the school.

Answer required for "Cost for Transcript Request: $10"

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"

Please fix the highlighted areas below before submitting.

Corporation/Institution/Agency Request past Student Transcript

Former Student Information

Requestor's Information

Physical Delivery Information(Where do you want the Transcript to be mailed to?)

Payment Information