Request For Amda Transcript
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1Request for AMDA Transcript
New York // Los Angeles
SUBMIT FORM TO:
AMDA Los Angeles - Office of Education
AMDA New York - Office of Education
OR
st
6305 Yucca Street Los Angeles, CA 90028
211 West 61
Street New York, NY 10023
Tel: (323) 469-3300 Fax: (323) 469-3350
Tel: (212) 787-5300 Fax: (212) 247-2790
REQUESTING AMDA TRANSCRIPTS:
•
Transcript Requests must be submitted in writing with your signature and payment. NO PHONE ORDERS will be accepted.
•
Emailed / mail/ fax Request Form to the appropriate campus listed above.
•
Please allow seven (7) business days to process your request.
•
Make sure you have cleared all holds including academic hold or financial hold with the appropriate offices. The Office of
Education will not release any type of transcript or academic record if there is a hold on your records.
•
The sealed Official Transcript will be mailed directly from AMDA to the party or parties specified on the request form. Official
transcripts cannot be faxed.
Transcript Fees:
•
Official Transcripts: $5.00 fee per transcript.
•
Unofficial Transcripts: $2.00 fee per transcript
•
Rush Orders: Add an additional $15.00 per transcript.
Please allow 48 hours for processing all rush orders.
Payment Information:
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Total Amount Paid: $ ________
Cash
Check #___________
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Credit Card #: _________________________________________ Exp Date: _________________
PLEASE COMPLETE THE FOLLOWING:
STUDENT’S NAME ON AMDA RECORD: ___________________________________________________________________________
Last
First
Middle
CURRENT ADDRESS: ___________________________________________________________________________________________
Street
City
State
Zip
Country
EMAIL ADDRESS: _____________________________________________ PHONE: ________________________________________
SOCIAL SECURITY NUMBER: ______ - ______ - ________
DATE OF GRADUATION: ______/______/______
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Are you currently enrolled at AMDA?
Yes
No
CHECK ONE: Please mail my transcript
After Graduation
Immediately
SIGNATURE:
I authorize AMDA to release my transcript to the party or parties named below with the understanding that the named
recipient(s) will not release the record to a third party without my written consent.
___________________________________________________________________________ Date ____________________________
Applicant’s Signature
SEND TRANSCRIPT(S) TO:
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Please send (check one):
Official Copies
Unofficial Copies
Service Level (check one):
Regular
Rush
List the name and address of the person or organization where you would like the transcript/record to be sent:
Name: __________________________________________ Organization: ____________________________________
Address: ________________________________________________________________________________________
□
□
□
□
Please send (check one):
Official Copies
Unofficial Copies
Service Level (check one):
Regular
Rush
List the name and address of the person or organization where you would like the transcript/record to be sent:
Name: __________________________________________ Organization: ____________________________________
Address: ________________________________________________________________________________________
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