This transcript request form allows students to request official or unofficial transcripts from Virtual High School of Excellence. The form collects the student's name, contact information, last school attended, transcript type requested, and credit card information if paying the $10 fee for an official transcript. Students or their parents must sign to authorize the release of transcripts. The form provides instructions for faxing, mailing, or emailing the completed form to request transcripts.

1. 3111 Fo rtune Way | Suite B-16 | Wellington | Florida | 33414
Toll Free: 1.800.890.6269 | Main: 561.537.5501 | Fax: 1.866.230.0259
http://www.virtualhse.com
TRANSCRIPT REQUEST FORM
NOTICE: Please allow 3-5 days for your transcript request to be completed.
Last Name: First Name: M I: DOB:
Name Change (Former Name): Day Telephone Number: FAX:
Full Current Address: City: State, Zip Code:
Email: Current Grade or Program:
Are you seeking NCAA compliance Yes_________________ No ____________________
Last School Attended: City: State, Zip Code:
 Unofficial  Official ($10.00)
1. Fax: _____________________________________ M ail to:
2. Email: ___________________________________
I authorize Virtual High School of Excellence to charge my credit card on file for $10.00 for an official copy of my transcript.
Parent Signature: ___________________________________________________________
If you would like to use a new credit card, please fill out the form below and sign and date the authorization form.
Name on Card:
Credit Card Type:
Credit Card Number: ________-________-________-________
Expiration Date: ______/______ CVV: _________
Billing Address:
Street Address Apt#
City State Zip Code
Authorization for release of transcripts (if under 18, parent/guardian must sign)
Signature_____________________________________________________________ Date _____/_____/_______
T RANSCRIPT FAXING INST RUCT IONS : MAILING/PROCESSING: E-MAIL INST RUCTIONS:
1. Print out this transcript form 1. Print out this transcript form 1. Complete & sign all sections in this form
2. Complete & sign all sections 2. Complete & sign all sections 2. Email to: virtualschooladmin@gmail.com
3. Fax to: 1-866-230-0259 3. Mail to: 3111 Fortune Way Suite B-16
Wellington, Fl 33414
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