Transcript Request Form

For PCHS alumni, please use this form to request official transcripts.

This form gives Pacifica Christian High School your consent to forward your personal records to the insitution of your choosing. Please double-check the information provided below.

Official transcripts may only be sent to an institution. Transcripts will be sent to the exact location provided. If you provide incorrect recipient information, Pacifica Christian is not responsible if your transcript does not reach its intended destination.

You may select an electronic or paper delivery of your transcript. Pacifica does not use a third party document relay service, so all transcripts will be emailed or sent through USPS to the addresses you provide. Please be sure to confirm how the insitution can receive transcripts before making your request.

Transcripts ordered will be emailed or mailed by USPS within 3 business days of the official request.

First Name*

Last Name*

Graduation Year*

Email*

Phone Number* - -

Transcript Type*Standard Transcript - $4

Quantity for Standard Official Transcript - $4*

Quantity for Rushed OfficialTranscript - $50*

Delivery Method*EmailMail

Please list all attendees.

Name of Institution to Receive Transcript*

Delivery Address*

Use Google Smart Search for Address

Address 1:

City:

Country:

State/Province:

Postal Code:

Delivery Email Address*

Name of Second Institution to Receive Transcript

Second Delivery Address

Use Google Smart Search for Address

Address 1:

City:

Country:

State/Province:

Postal Code:

Second Delivery Email Address

Name of Third Institution to Receive Transcript

Third Delivery Address

Use Google Smart Search for Address

Address 1:

City:

Country:

State/Province:

Postal Code:

Third Delivery Email Address

Total$0.00

Payment Method:*

Payment Notes/Additional Info:

Name Associated with Payment:*

Email Associated with Payment:*

Pay with:*

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Transcript Request Form

Applications Due in January!