Notre Dame Academy
1073 Main Street
Hingham, MA 02043
781.749.5930

Academic Transcript Request Form
There is no fee for this service.
* Indicates Required Field

Year of Graduation:*

Withdrew Prior to Graduation

Dates Attended

From (MM/YYYY):

Dates Attended

To (MM/YYYY):

First Name:required

M.I.

Last Name:required

Last Name at Time of Graduation:required

Contact Phone:required

Contact Email:required

Home Address:required

Comments / Remarks:

Transcript Destination

Number of Transcripts Requested:required

Total number of transcript requests:

Delivery Options*

**The guidance department acknowledges all school vacations and is closed during summer months. Transcript requests may be delayed during those times.

I will pick up unofficial transcript at NDA Please mail official transcript, address below Please mail unofficial transcript, address below Please fax unofficial transcript Please scan unofficial transcript Other

Please include details regarding transcript delivery.

Attention/Department:

Name of School/Organization:required

Street Addressrequired

Street Address 1

Cityrequired

Staterequired

Zip Code/Country Coderequired

Country (if other than US):

Email Address:required

*All Scanned Transcripts are UNOFFICIAL.

Fax Number:

**All Faxed Transcripts are UNOFFICIAL.

Attention/Department

Organization

Street Address

Street Address 1

City

State

Zip Code/Country Code

Country (If other than US)

Email Address

*All Scanned Transcripts are UNOFFICIAL.

Fax Number

**All Faxed Transcripts are UNOFFICIAL.

Additional Addresses where transcripts should be sent:

Please include organization, attention to:, street, city, state, and zip:

Would you like to receive Alumnae Communications?*

Yes, I give my permission for NDA to include me in alumnae mailings and communications.. No, I do not want to receive mailings and other NDA alumnae communications.

Notre Dame Academy makes every effort to protect it's alumnae and student’s privacy. Notre Dame Academy retains the right to deny this method of request for any reason it deems appropriate. The request may be denied and a written and signed request may be required before a transcript will be sent. The information given on this request will be checked against the students records for accuracy.

By checking the box below, I acknowledge and agree to electronically sign this transcript request form therefore giving proper authorization to release my confidential information.

I Acknowledge/Agree to electronically sign this request form.

Please type in full name to be used for your electronic signature:required

I affirm that by entering my full name and submitting this form, it shall constitute as an electronic signature for the release of my NDA transcript.

Please enter today's date:required (mm/dd/yyyy)

For Office Use ONLY. Do not enter any information.

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Please provide an email address where we can send a link to your current form.

Email Address :