Transcript Request Intake Sheet

Transcript Request Intake Sheet

Student's Last Name*

Please be sure it is as accurate to the full name on record; i.e., include hyphen if last name is hyphenated; include apostrophe for last names such as O'Reilly; etc. (this is particularly important for the registrar's office to verify student identify).

Student's First Name*

Please enter the complete full name with no nicknames or abbreviations (this is particularly important for the registrar's office to verify student identify).

Student's Date of Birth*

Please select the role or entity that best applies to your role or affiliation:*

Student/Guardian

Public School Entity in PA

School Entity Out of PA

Private/Parochial School

Community-Based Agency Rep

High Education Institution

Other

Student ID Type

Insight PA Student ID

PA State Secure ID (SSID)

Social Security Number

No Record - None Known

Please enter the Insight PA Student ID:

Instructions on how to find your Student ID can be found at https://www.help.k12.com/s/article/How-to-Look-Up-Your-Student-ID-in-My-Info.

Please enter this student's PA State Secure ID (SSID)

Please enter this student's social security number:

Please select the current grade or status that applies to this student:*

9th

10th

11th

12th

Graduated

Graduation Year

Select or enter value

Please describe the 'Other' role you serve on behalf of this student:*

In what type of institution is this student pursuing higher education?

Select or enter value

Please select the reason for your transcript request:

Transfer to other school entity

Application to college/higher ed.

Employment-related

Athletics participation requirement

Other

Please specify the 'Other' reason for your transcript request:

Send to Entity Name

Send to POC

Send to Email

Requester Phone

Phone

Send to Fax

Send to Phone

Phone

Other: Mailing Address

Request By Date

We will attempt to honor request dates entered; however please allow a minimum of 7-10 business for the school to process your request.

Send me a copy of my responses

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