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Transcript Request



Transcript Request Form

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Requestor Information

Legal name while at PEA

First:* Middle: Last:*

Please fill out your current name, if different than above legal name.

First: Middle: Last: Address: *
Address two:
Address three:
City/Township: *
State/Province: (US/Canada only)   Zip/Postal code:
Country: *
Email: *
Confirm Email: *
Phone: *

Did you graduate from Phillips Exeter Academy?*   Yes  No 
 
Year of graduation:  
Last year attended:     OR    Current student grade:  


Security Questions

     
To verify authenticity we require one of the two following items.  *

What was the name of the school you attended prior to PEA?
Date of Birth:  


 Reason for Requesting a Transcript *

    

Current College/University Name:




Common Application ID (if applicable):


Recipient 1
   College/University Name:
   
   State/Country:
   
   How did you apply? Explain:
   
   Additional Information

Recipient 2
   College/University Name:
   
   State/Country:
   
   How did you apply? Explain:
   
   Additional Information

Recipient 3
   College/University Name:
   
   State/Country:
   
   How did you apply? Explain:
   
   Additional Information

Recipient 4
   College/University Name:
   
   State/Country:
   
   How did you apply? Explain:
   
   Additional Information

Recipient 5
   College/University Name:
   
   State/Country:
   
   How did you apply? Explain:
   
   Additional Information


Common Application ID (if applicable):

Recipient 1
   College/University Name:
   
   State/Country:
   
   How did you apply? Explain:
   
   Application Type:
   
   Additional Information (e.g. campus):

Recipient 2
   College/University Name:
   
   State/Country:
   
   How did you apply? Explain:
   
   Application Type:
   
   Additional Information (e.g. campus):

Recipient 3
   College/University Name:
   
   State/Country:
   
   How did you apply? Explain:
   
   Application Type:
   
   Additional Information (e.g. campus):

Recipient 4
   College/University Name:
   
   State/Country:
   
   How did you apply? Explain:
   
   Application Type:
   
   Additional Information (e.g. campus):

Recipient 5
   College/University Name:
   
   State/Country:
   
   How did you apply? Explain:
   
   Application Type:
   
   Additional Information (e.g. campus):

Recipient 6
   College/University Name:
   
   State/Country:
   
   How did you apply? Explain:
   
   Application Type:
   
   Additional Information (e.g. campus):

Recipient 7
   College/University Name:
   
   State/Country:
   
   How did you apply? Explain:
   
   Application Type:
   
   Additional Information (e.g. campus):

Recipient 8
   College/University Name:
   
   State/Country:
   
   How did you apply? Explain:
   
   Application Type:
   
   
   Additional Information (e.g. campus):



Recipient 1
   College/University Name:
   
   State/Country:
   
   Additional Information (e.g. campus):
   
   Sport:
   
   Attn (e.g. Coach's Name):
   
   Email (must be .edu address):  
   
   Fax Number:
   
   Additional Requests:
   (If standardized test scores are requested,
   CCO will send the highest unofficial test
   scores on file, approved by a counselor)

 

Recipient 2
   College/University Name:
   
   State/Country:
   
   Additional Information (e.g. campus):
   
   Sport:
   
   Attn (e.g. Coach's Name):
   
   Email (must be .edu address):  
   
   Fax Number:
   
   Additional Requests:
   (If standardized test scores are requested,
   CCO will send the highest unofficial test
   scores on file, approved by a counselor)

 

Recipient 3
   College/University Name:
   
   State/Country:
   
   Additional Information (e.g. campus):
   
   Sport:
   
   Attn (e.g. Coach's Name):
   
   Email (must be .edu address):  
   
   Fax Number:
   
   Additional Requests:
   (If standardized test scores are requested,
   CCO will send the highest unofficial test
   scores on file, approved by a counselor)

 

Recipient 4
   College/University Name:
   
   State/Country:
   
   Additional Information (e.g. campus):
   
   Sport:
   
   Attn (e.g. Coach's Name):
   
   Email (must be .edu address):  
   
   Fax Number:
   
   Additional Requests:
   (If standardized test scores are requested,
   CCO will send the highest unofficial test
   scores on file, approved by a counselor)

 

Recipient 5
   College/University Name:
   
   State/Country:
   
   Additional Information (e.g. campus):
   
   Sport:
   
   Attn (e.g. Coach's Name):
   
   Email (must be .edu address):  
   
   Fax Number:
   
   Additional Requests:
   (If standardized test scores are requested,
   CCO will send the highest unofficial test
   scores on file, approved by a counselor)

 

Recipient 6
   College/University Name:
   
   State/Country:
   
   Additional Information (e.g. campus):
   
   Sport:
   
   Attn (e.g. Coach's Name):
   
   Email (must be .edu address):  
   
   Fax Number:
   
   Additional Requests:
   (If standardized test scores are requested,
   CCO will send the highest unofficial test
   scores on file, approved by a counselor)

 

Recipient 7
   College/University Name:
   
   State/Country:
   
   Additional Information (e.g. campus):
   
   Sport:
   
   Attn (e.g. Coach's Name):
   
   Email (must be .edu address):  
   
   Fax Number:
   
   Additional Requests:
   (If standardized test scores are requested,
   CCO will send the highest unofficial test
   scores on file, approved by a counselor)

 

Recipient 8
   College/University Name:
   
   State/Country:
   
   Additional Information (e.g. campus):
   
   Sport:
   
   Attn (e.g. Coach's Name):
   
   Email (must be .edu address):  
   
   Fax Number:
   
   Additional Requests:
   (If standardized test scores are requested,
   CCO will send the highest unofficial test
   scores on file, approved by a counselor)

 














 


Recipient(s) of Transcript (You may enter up to five recipients of your transcript)

Recipient 1

Please check type of delivery for transcript:     First class mail: Fax: Pickup:

Name of Business/Organization:   
Attn:
Address:
Address two:
Address three:
City/Township:
State/Province: (US/Canada only)   Zip/Postal code:
Country:
Daytime phone:  Fax to:  Fax #:   
Special Instructions: 

Recipient 2

Please check type of delivery for transcript:    First class mail: Fax: Pickup:
Name of Business/Organization:  
Attn:
Address:
Address two:
Address three:
City/Township:
State/Province: (US/Canada only)   Zip/Postal code:
Country:

Daytime phone:  Fax to:  Fax #:   
Special Instructions: 

Recipient 3

Please check type of delivery for transcript:    First class mail: Fax: Pickup:
Name of Business/Organization:  
Attn:
Address:
Address two:
Address three:
City/Township:
State/Province: (US/Canada only)   Zip/Postal code:
Country:

Daytime phone:  Fax to:  Fax #:   
Special Instructions: 


Recipient 4

Please check type of delivery for transcript:    First class mail: Fax: Pickup:
Name of Business/Organization:  
Attn:
Address:
Address two:
Address three:
City/Township:
State/Province: (US/Canada only)   Zip/Postal code:
Country:

Daytime phone:  Fax to:  Fax #:   
Special Instructions: 


Recipient 5

Please check type of delivery for transcript:    First class mail: Fax: Pickup:
Name of Business/Organization:  
Attn:
Address:
Address two:
Address three:
City/Township:
State/Province: (US/Canada only)   Zip/Postal code:
Country:

Daytime phone:  Fax to:  Fax #:   
Special Instructions: 



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