Texas Success Academy-Request for Official Records

NOTE: TSA Students/Former Students may not use this form unless you have spoken directly with Dr. Gallegos at Orion High School. Your request will NOT be honored if you have not spoken directly with Dr. Gallegos at Orion High
School.

Please fill out and submit this official records request. Make sure that the address provided is correct, before submitting the Transcript Request Form. If you are currently married, please be sure to provide your maiden name/or the last name that was used at the time you were enrolled at Texas Success Academy. All official records are mailed according to your specifications below. The default is regular USPS mail, first class service.

Please note that at this time we are unable to send any transcripts electronically. We are also not authorized to upload transcripts to the NCAA at this time.

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Name on the official transcript: Name on the official transcript: First Middle Last
Enter the last four digits of the student's social security number.
Must be 4 digits. Currently Entered: 0 digits.
Example: 9112
Student's Date of Birth Student's Date of Birth / MM / DD YYYY
Your Phone Number: Your Phone Number: - ### - ### ####
Your Current Email Address

Confirm Email Address
What is the Name of the College/University or Individual who will be receiving the transcript?
Address - This is where we will be mailing your official transcript. PLEASE NOTE, IF YOU ARE REQUESTING TRANSCRIPTS TO ANOTHER COUNTRY, YOU MUST CONTACT THE REGISTRAR DIRECTLY, DO NOT FILL OUT THIS REQUEST. Address - This is where we will be mailing your official transcript. PLEASE NOTE, IF YOU ARE REQUESTING TRANSCRIPTS TO ANOTHER COUNTRY, YOU MUST CONTACT THE REGISTRAR DIRECTLY, DO NOT FILL OUT THIS REQUEST.
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Name of Admissions/Registrar (fill in only if you would like for us to contact them for a possible email sending of your official records): Name of Admissions/Registrar (fill in only if you would like for us to contact them for a possible email sending of your official records): First Last
Phone number of Admissions/Registar (fill in only if you would like for us to contact them for possible email sending of your official records): Phone number of Admissions/Registar (fill in only if you would like for us to contact them for possible email sending of your official records): - ### - ### ####
Shipping Method

Please select your shipping method, below. All official records are sent via one of the USPS choices, below; Electronic transcripts are sent only via the two delivery mechanisms below. If you have applied using ApplyTexas, you must select the fourth selection below! If you have applied via the Common Application, you must select the fourth option below.
Checkboxes

Checkboxes USPS-First Class- $7.50 (Use this also for emailing of records-see above) Please email me an unofficial copy of the transcript (to the email address listed above).-3.00

Texas Success Academy-Request for Official Records

Texas Success Academy-Request for Official Records

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Shipping Method

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