VLACS Transcript Request Form
Student Legal First Name
Student Legal Last Name
Student Preferred First Name
If different than legal name
Student Preferred Last Name
If different than legal name
Student Date of Birth
Please use the calendar drop down to select date.
Student's current (or most recent) grade level
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Graduated
Adult Education
No longer in School
Has this student ever been enrolled in the VLACS Full-Time Program?
No, the student was enrolled as a Part-Time Student
Yes, the student was enrolled as a Full-Time Student
I am not sure if the student was Part-Time or Full-Time.
Sending Information
VLACS can provide an Official Transcript (mail only) and/or an Unofficial Transcript (email only). VLACS cannot email an Official Transcript.
I would like the following transcript sent:
Official Transcript
Unofficial Transcript
Both an Official and Unofficial Transcript
Email Address to send the Unofficial Transcript:
Who is this being emailed to:
(Example: Mrs. Smith, School Counselor or Your name)
Official Transcript
I would like the official transcript mailed to:
A School Address
A Home Address
Name of the School
To the Attention of:
This could be a specific person or a department (Example: Mrs. Smith, School Counseling or Your name if mailing home)
Mailing Address
City
State/Province
Abbreviate
Zip/Postal Code
Country
How many Transcripts would you like mailed to this address?
1
2
3
4
5
Which Transcript type would you like to generate?
Standard
Competency based
Both
Select the levels to display in the transcript
I would like the transcript to list High School Courses
I would like the transcript to list Middle School Courses
I would like the transcript to list Elementary School Courses
Use the send to a different address to send to more than one school or location.
Who is Requesting this Student Transcript?
Your First Name
Your Last Name
Your Email Address
Relation to the Student
Example: Self, Parent/Guardian, School Counselor etc.
Signed under the pains and penalties of perjury. I understand that entry of false information is against the law. See RSA 641:2, RSA 641:3, and RSA 641:7.
Digital Signature
By entering your first and last name below, you are agreeing to the statement above and that all information on this form is correct.
contact id
Contact Information