Transcript Request Form

Transcript Request Form

First Name 

Last Name  

Middle Name 

Maiden Name (if aplicable) 

E-mail Address 

Contact Phone number 

Date of Birth   

Last four of the SSN 

Year of Graduation/Last Year Attended 

Select Site Attended
Baldwin 
Barrow 
Bibb 
Burruss 
Butts Heartland 
Clarke 
Franklin 
Greene 
Jackson 
Jasper 
Lee Arrendale 
Madison 
Morgan
Oglethorpe 
Phillips 
Social Circle 
Transfer Credit Community 
Walton 
Virtual 
Youth Challenge Program (Virtual) 

I give permission to Foothills Education Charter High School to release my transcript (including ACT/SAT scores) as instructed below.  

With my (electronic) signature, I verify that I am the student or the parent/guardian of the student (under the age of 18) whose transcript is being requested. I understand Foothills may contact me for additional identifiable information to process request.  My e-signature here 
Date Signed 

Transcript to be picked up in person (ID required).  Contact me at this number (enter numbers only no dashes)  when transcript is ready.

Transcript to be mailed to the address provided below

Please send my transcript to:
College or other institution/business
Address
City 
State 
Zip

This Form can be also be downloaded here and may be taken in person to the site attended, fax to 706-395-8233 for YCA SIte or 706-395-3606 for rest of the sites, or email to [email protected] Please allow 24 hours for processing.



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