Permission To Release Student Transcript And Waiver Of Access
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1
2Joliet Catholic Academy
College/Career Center
TRANSCRIPT REQUEST FORM
_____________________________________
___________________
_________________________
STUDENT’S NAME
DATE OF BIRTH
DATE SUBMITTED
PERMISSION TO RELEASE STUDENT TRANSCRIPT AND WAIVER OF ACCESS
Colleges, universities, and other organizations request letters of recommendation from high school
staff members. They generally prefer the recommendations be confidential, because they feel that
confidential recommendations are more candid. This means you will not be able to see the letter of
recommendation. Those recommendations carry significantly more weight in the admissions process
than recommendations that parents, guardians, and students can access. The Counseling
Department strongly recommends that you waive your right to access your letters of
recommendation.
I hereby authorize Joliet Catholic Academy personnel to release my student transcripts and
complete letters of recommendation and/or other evaluations associated with college applications
and/or scholarships. I authorize the release of student information in this letter and other application
forms.
Check One:
I do _____
I do not _____
Waive my rights to examine or obtain a copy of the letter(s), secondary school reports, and
other evaluations.
Student Signature: __________________________________
Date: _____________
1.
Forms must be signed and dated
2.
$5 fee per transcript up to 10 transcripts;
11+ transcripts $4 each
Final transcript is free
3.
Transcript request forms must be submitted 2 weeks prior to college, etc. deadline
Transcripts can only be sent to those colleges you have entered in the “Colleges
4.
I’m Applying to” page in Naviance
Counselor
Teacher Letter of
Counselor Use Only
ED, EA,
Common
Form or
Recommendation
E=Electronic
Name of College,
Deadline
RD or
App
Letter
M=Mail
University or Organization
Rolling
Y or N
Y or N
(List Names)
IF YOU ARE APPLYING TO ADDITIONAL SCHOOLS, PLEASE USE THE REVERSE SIDE OF THIS FORM.
Business Office Authorization ______________________
Amount Pd. _____________
Date ________________
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