3111 Fortune Way | Suite B-16 | Wellington | Florida | 33414

Toll Free: 1.800.890.6269 | Main: 561.537.5501 | Fax: 1.866.230.0259

http://www.foresttrailacademy.com

Final Transcript & Diploma

NOTICE: Please allow 5-7 days for your transcript request to be completed and 3-5 weeks for your diploma to be delivered.
Last Name:

First Name:

MI:

DOB:

Name Change (Former Name):

Day Telephone Number:

FAX:

Full Current Address:

City:

State, Zip Code:

Email:

Are you seeking NCAA Initial Eligibility Requirements (Student athletes only):

Last School Attended:

City:

Official Transcript (FREE)

Diploma Delivery (FREE):

Mail to: ______________________________________________

Mail to: _________________________________

______________________________________________

_________________________________

Yes

Unofficial Transcript (FREE)

No
State, Zip Code:

Additional Official Transcript: ($10.00)

1.

Fax: ____________________________________

2.

Email: ___________________________________

Mail To: ____________________________________________

_____________________________________________

I authorize Forest Trail Academy to charge my credit card on file for $10.00 for an additional official copy of my transcript.
Parent Signature: ___________________________________________________________
If you would like to use a new credit card, please complete the authorization form below:
Name on Card:
Credit Card Type:
Credit Card Number: ________-________-________-________
Expiration Date: ______/______ CVV: _________
Billing Address:
Street Address

City

Apt#

State

Zip Code

Signature_____________________________________________________________ Date _____/_____/_______

(if under 18, parent/guardian must sign)
2007 Forest Trail Academy, LLC d/b/a Virtual High School of Excellence | Forest Trail Academy, LLC d/b/a Forest Trail Academy