Transcript Request

You may request a transcript for up to three institutions on this form. If more are needed, you may submit additional forms. Please be sure to scroll to the very bottom of the form to submit, and then allow seven days for the transcript(s) to be sent to the institution(s). Thank you.

•••

Name

First Name

Last Name

Phone

(###)

###

####

Name While at Highlands

First Name

Last Name

Birthdate

YYYY

Did you graduate from HCA?

Class of ____ ?

Name of Institution #1

Admissions Dept. Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of Institution #2

Admissions Dept. Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of Institution #3

Admissions Dept. Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country