Transcript Request

Transcript Request Form

* Indicates Required Fields

Requestor Information

Legal name while at PEA

First:* Middle: Last:*

Please fill out your current name, if different than above legal name.

First: Middle: Last: Address: *
Address two:
Address three:
City/Township: *
State/Province: (US/Canada only) Zip/Postal code:
Country: *
Email: *
Confirm Email: *
Phone: *

Did you graduate from Phillips Exeter Academy?* Yes No

Year of graduation:

Last year attended: OR Current student grade:

Security Questions

To verify authenticity we require one of the two following items. *

What was the name of the school you attended prior to PEA?
Date of Birth:

Recipient(s) of Transcript (You may enter up to three recipients of your transcript)

Recipient 1

Please check type of delivery for transcript: Pickup: First class mail: Fax:

Name of Business/School:
Address one:
Address two:
Address three:
City/Township:
State/Province: (US/Canada only) Zip/Postal code:
Country:

Daytime phone: Fax to: Fax #:

Recipient 2

Please check type of delivery for transcript: Pickup: First class mail: Fax:

Name of Business/School:
Address one:
Address two:
Address three:
City/Township:
State/Province: (US/Canada only) Zip/Postal code:
Country:

Daytime phone: Fax to: Fax #:

Recipient 3

Please check type of delivery for transcript: Pickup: First class mail: Fax:

Name of Business/School:
Address one:
Address two:
Address three:
City/Township:
State/Province: (US/Canada only) Zip/Postal code:
Country:

Daytime phone: Fax to: Fax #:

Reason(s) for Requesting a Transcript (check all that apply)*

Transfer:

  Current School:
  Transfer reason(s):  Academically, does not fit my interest: Financial Aid: Personal:
  Other transfer reason(s):

Summer school/internship/scholarship:
Gap year student-applying/Deferred as freshman:

Gap year plan:

Employment:
Other reason(s):

Please type the code listed above in the text box below.