Education Verification Request | Great River Connections Academy Transcripts and Records Requests

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

Education verifications will be delivered via email to the email address entered on the application below.

PLEASE NOTE: A signed release by the student is required for a High School Transcript unless you are a post-secondary institution. The signed release may be uploaded via the Order Tracker.

You will receive emails from scribOnline@scribsoft.com to notify you of the status of your request. It is important you read those emails carefully as additional information may be required to process your request. We may respond to this request by the method of our choosing (email, mail, or fax). You will be notified of the delivery method by email. Status can be checked via the 'Order Tracker'.

ACCESSING THE ORDER TRACKER: Once the request has been submitted, 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.

Corporate Requestor Information:

Corporate Name: ^(legal)

Federal Tax ID:

Business Client Name:

Internal Tracking ID:

Contact Name:

Corporate Address:

Address Line 1:

Address Line 2:

City:

State: ^(region)

Zip Code: ^{(postal code)}

Country:

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

^Primary:

^Cell:

Updates via Text Message?

Yes No

Email:

^Address:

^Confirm:

Student's 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 Student's Birth:

Date of Birth:

Current Age:

Student's Last Great River Connections Academy School of Attendance:

Name of School :

Last Year Enrolled:

Did they graduate?

Yes No

Student Current Name:

Last Name: ^{(official id)}

First Name:

Middle Name:

Maiden Name:

Suffix:

Student's 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

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

Address Line 1:

Address Line 2:

City:

State: ^(region)

Zip Code: ^{(postal code)}

Country:

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

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

Special Instructions :

Reason(s) for Request of Student Record:

Employment

College

Identification

Birth Certificate

Immigration

Other

Select The Information Type(s) Requested:

Transcript Only

( $0.00 ea. + $0.00 copy )

Graduation Verification Only

( $0.00 ea. + $0.00 copy )

Total Fee:

AUTHORIZATION NOTIFICATION:

I hereby certify and verify that my corporation has expressed written consent to release information from the former student of Great River Connections Academy for which this request is made. I understand that the recipient of the record(s) will use said 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 the expressed written consent of the former student except under authority of Public Law 93-380, Educational Rights and Privacy Act. By clicking 'Proceed to Checkout', I certify this information as complete and accurate.

Coupon Code:

Your Initials:

Pay by Money Order

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Online Corporate Information Request Step 1, Please Enter All Information