STUDENT REQUEST FOR

TRANSCRIPT RELEASE
Please fill out a separate form for each college.
Student Name: ______________________________________________________ Date: ________________________
Name of College: ___________________________________________________________________________________
Address where transcript is to be sent:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
The SJCA Official Transcript lists a students final term grades (as documented on report card) from 9th-12th
grade.
While SJCA has a record of all of the standardized test scores (PLAN, PSAT, ACT, SAT) the student has sent
to SJCA or taken while a student here, IT IS THE STUDENTS RESPONSIBILITY TO SEND ACT/SAT
SCORES DIRECTLY TO THE COLLEGE/UNIVERSITY TO WHICH THEY ARE APPLYING!
Make sure to check the college/universitys application instructions for that institutions test code
to ensure that your scores are sent to the proper place from ACT or SAT.
________ I have had my ACT/SAT scores sent from the testing agency website
________ I have entered this school on Naviance/Family Connection
Affirm how your school will receive the following information. Check the appropriate box. YOUR
APPLICATION WILL NOT BE SENT UNTIL WE KNOW ALL MATERIALS HAVE BEEN SUBMITTED.

Attached

Sent Online

School does
not require

Potential Required Item

Signed Application from College Website
Application Fee
Personal Statement
Counselor Recommendation Form
Common App School Report
Common App Teacher Evaluations
Letters of Recommendation

_______________________________________________________
Parent Signature

_____________________________________________
Student Signature

For office use only:

Received:_______________
_______________

Transcript sent:

Letters/Evals
from :
_________
_________
_________