Student Records - Transcript Request User Form

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Request for Transcripts or School Records - No third party request

Please complete the following information. All fields must be completed for request to be processed.

* indicates required field.

Date of Request *:
Last Name used while attending the Anchorage School District *:
Last Name *:	First Name *:		Middle Initial :
Birth Date(MM/DD/YYYY) *:	Day Phone *:	( )
Email Address *:
Re-Enter Email *:
Mailing Address *:
City *:
State *:	Zip Code *:
Last School Attended *:			Last Year Attended(YYYY-YYYY) *:
Year of Graduation :

Current Students Only.

Send Transcript
	Now	End of Semester
Include available Test scores

Other Documents Requested (Mark all that apply)

Graduation Verification Letter: _{(No Transcript)}:	_(Number)	Birth Date Verification:
Immunizations:		Enrollment Verification:	_{(Number of Copies)}
		Years Requested:

Name of Requestor. No educational institution or parents of students over 18

Name of Requestor *:
Relationship *:

Send Transcript. At least one Address must be completly filled out. Incomplete addresses cannot be processed.

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Certified Copy:

Personal Copy:

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Personal Copy:

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Certified Copy:

Personal Copy:

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Certified Copy:

Personal Copy:

Send Transcript to

Certified Copy:

Personal Copy:

Send Transcript to

Certified Copy:

Personal Copy:

Please Print a copy of your request. You will be notified when records have been processed.