Student Records - Transcript Request User Form

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Request for Transcripts or Student Records - No third party request

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

* indicates required field.

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

Name of Requestor *:
Relationship *: (Self, Parent, Legal Guardian)

Date of Request *:
Students 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) *:
Year of Graduation :	(YYYY)

Current Students Only.

Send Transcript
	Now	End of Semester

Other Documents Requested (Mark all that apply)

Graduation Verification Letter: _{(No Transcript)}:
Immunizations:

At least one address must be completely filled out to process the request. It is not necessary to fill out the Fax # field unless you would like a “Non Certified copy” sent by fax.

Send Transcript to
# of Certified Copies:
# of Personal Copies:
Full Name:
Address Line 1:	Street address, P.O. box, company name, c/o
Address Line 2:	Apartment, suite, unit, building, floor, etc.
City,State,Zip Code:	City, State, Zip Code
Fax # for Non Certified copy:	(XXX-XXX-XXXX)

Send Transcript to
# of Certified Copies:
# of Personal Copies:
Full Name:
Address Line 1:	Street address, P.O. box, company name, c/o
Address Line 2:	Apartment, suite, unit, building, floor, etc.
City,State,Zip Code:	City, State, Zip Code
Fax # for Non Certified copy:	(XXX-XXX-XXXX)

Send Transcript to
# of Certified Copies:
# of Personal Copies:
Full Name:
Address Line 1:	Street address, P.O. box, company name, c/o
Address Line 2:	Apartment, suite, unit, building, floor, etc.
City,State,Zip Code:	City, State, Zip Code
Fax # for Non Certified copy:	(XXX-XXX-XXXX)

Send Transcript to
# of Certified Copies:
# of Personal Copies:
Full Name:
Address Line 1:	Street address, P.O. box, company name, c/o
Address Line 2:	Apartment, suite, unit, building, floor, etc.
City,State,Zip Code:	City, State, Zip Code
Fax # for Non Certified copy:	(XXX-XXX-XXXX)

Transcript to
# of Certified Copies:
# of Personal Copies:
Full Name:
Address Line 1:	Street address, P.O. box, company name, c/o
Address Line 2:	Apartment, suite, unit, building, floor, etc.
City,State,Zip Code:	City, State, Zip Code
Fax # for Non Certified copy:	(XXX-XXX-XXXX)

Send Transcript to
# of Certified Copies:
# of Personal Copies:
Full Name:
Address Line 1:	Street address, P.O. box, company name, c/o
Address Line 2:	Apartment, suite, unit, building, floor, etc.
City,State,Zip Code:	City, State, Zip Code
Fax # for Non Certified copy:	(XXX-XXX-XXXX)

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