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Maui Campus - Request for Transcripts

Student Information

Current Last Name*

Answer required for "Current Last Name"

Current Middle Name or Middle Initial

Answer required for "Current Middle Name or Middle Initial"

Current First Name*

Answer required for "Current First Name"

Last Name while attending Hawaii State Community School for Adults*

Answer required for "Last Name while attending Hawaii State Community School for Adults"

Middle Name while attending Hawaii State Community School for Adults

Answer required for "Middle Name while attending Hawaii State Community School for Adults"

First Name while attending Hawaii State Community School for Adults*

Answer required for "First Name while attending Hawaii State Community School for Adults"

Address

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Email Address*

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Phone Number*

Answer required for "Phone Number"

Date of Birth*

Answer required for "Date of Birth"

Program Completed*

Answer required for "Program Completed"

GED

HiSet

WDD

Year Completed*

(Enter year as YYYY)

Answer required for "Year Completed"

Transcript Information

Once we receive your transcript request form you will receive an email on how to make payment.

I am requesting __________ transcript(s). ($2.00 per transcript)*

Answer required for "I am requesting __________ transcript(s). ($2.00 per transcript)"

How do you want to receive your transcript?*

Answer required for "How do you want to receive your transcript?"

I will pick up my transcript(s) from Hawaii State Community School for Adults - Maui Campus.

I request Hawaii State Community School for Adult - Maui Campus to send my transcript(s) to the address above.

I request Hawaii State Community School for Adult - Maui Campus to send my transcript(s to the following school/organization

Name of School/Organization

Answer required for "Name of School/Organization"

Attention

Answer required for "Attention"

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

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Please attach Government Issued ID or Passport

Government Issued ID or Passport*

Answer required for "Government Issued ID or Passport"

Choose a file or drag it here.

By clicking submit, I authorize the release of my records at Hawaii State Community School for Adults - Farrington Campus. If changes needs to be made, I will call the office within one (1) business day.