Alumni Transcript Request | Pike Road Schools Records Requests by Scribbles Software

This is an official request for a copy of a student record. The information contained in this request should be considered private. Please complete all information in full and then finalize the order process by clicking 'Proceed to Check Out'. The information required on this page is necessary to verify and protect your school record from being accessed by unauthorized individuals.

You will receive emails from scribOnline@scribsoft.com to notify you of the status of your order. It is important you read those emails carefully as additional information may be required to process your request. In addition to email, you have the option to receive status updates via text message.

PLEASE NOTE: If you select the Information Type 'Junior and Senior Transcript Self-View' and you enter a college/university as your delivery address your request will be denied. This information type is for Self-View only.

ACCESSING THE ORDER TRACKER: Once the order has been submitted and payment received, you will be directed to a confirmation page which contains the link to the Order Tracker. You will also receive a link to the Order Tracker via email from scribonline@scribsoft.com. To access the Order Tracker, you will enter your email address, order number and password.

Name While Attending School:

Last Name: ^{(in school)}

First Name:

Middle Name:

Maiden Name:

Suffix:

Last 4 SSN:

Last 4 SSN: ^(confirm)

Student ID:

Information Related To Your Birth:

Date of Birth:

Current Age:

Birth City:

Birth State:

Birth Country:

Your Last Pike Road School of Attendance:

Name of School :

Last Year Enrolled:

Did you graduate?

Yes No

Current Name / Requester Name:

Last Name: ^{(official id)}

First Name:

Middle Name:

Maiden Name:

Suffix:

Current Residence Address: ^{(this may be different than the mailing address)}

Address Line 1:

Address Line 2:

City:

State: ^(region)

Zip Code: ^{(postal code)}

Country:

^{Mailing Address Different:}

Yes No

Current Mailing Address: ^{(if different from residence address)}

Address Line 1:

Address Line 2:

City:

State: ^(region)

Zip Code: ^{(postal code)}

Country:

Telephone Number: ^{(###-###-####)}

^Primary:

^Cell:

Updates via Text Message?

Yes No

Driver's License: ^{(or other State Issued ID)}

^{ID Number:}

^{Issuing State:}

Email:

^Address:

^Confirm:

Special Instructions :

Documents Will Be Delivered To: ^{please enter the delivery addresses}

	Name	Attention	Addr 1	Addr 2	City	State	Zip	Country	# of Copies

Reason(s) for Request of Student Record:

Employment

College

Identification

Birth Certificate

Immigration

Scholarships (Official, sealed copies can be picked up in the counselors office 3 business days after approval)

Other

Select The Information Type(s) Requested:

High School Transcript

( $10.00 ea. + $10.00 copy )

Total Fee:

AUTHORIZATION NOTIFICATION:

My initials below constitute an electronic signature and authorizes Pike Road Schools to release information and / or my student record and confirms I have completed all sections accurately and truthfully, including information verifying my identity. I understand that the recipient of the record(s) will use the indicated documents(s) for legitimate interests only and that the information contained therein shall not be further transferred or communicated to any other part or agency without my expressed written consent except under authority of Public Law 93-380, Educational Rights and Privacy Act.

I have enclosed the correct fees and understand that they are nonrefundable. I understand that an incomplete form will not be processed and will be considered closed after expiration of the 30 day notification window. I declare under penalty of perjury that the foregoing is true and correct.

Please enter your e-Signature

Your Initials:

For security purposes, we logged your IP Address: 18.119.133.138, 172.68.168.198, 30.1.2.177

Coupon Code:

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Online Student Records Request Step 1, Please Enter All Information