Transcript Request

Request Form

To request a transcript from LightStars Academy, please complete this form in full. Be sure to include a payment, if applicable, and mail this form to the address listed below. Allow 7–10 business days for processing. All requests are handled with confidentiality.

Student Information

Full Name:

Date Of Birth:

Student ID (if applicable):

Address:

City:

State:

ZIP:

Transcript Details

Type of Transcript

Official Transcript (Sent directly to recipient; sealed envelope)
Unofficial Transcript (For personal use)

Number of Copies Requested:

Purpose of Request:

College/University Admission
Scholarship Application
Employment
Personal Use

Other (Please specify):

Delivery Information

Recipient 1

Name/Organization

Address

City

State

ZIP

Recipient 2

Name/Organization

Address

City

State

ZIP

Delivery Method

Standard Mail
Pick-Up (If applicable)

Authorization and Signature

By signing below, I authorize LightStars Academy to release my transcript as specified in this request.

Signature of Student (or Parent/Guardian if under 18)

Date

Payment Information (if applicable)

Fee per Transcript Copy: $ 10.

Total Amount Enclosed: $

Make checks payable to LightStars Academy.

Mail to: LightStars Academy, 18555 E. Smoky Hill Rd., Box 461442, Centennial, CO 80046

Office Use Only

Full Name:

Date Of Birth:

Student ID (if applicable):

Thank you for your request. If you have any questions, please contact us at [email protected]