High School & College Transcript Request Form: Student Information
High School & College Transcript Request Form: Student Information
Student Information
Name: David Jeffrey Cole Liberty ID: DOB: 08 / 08 / 1980
Name under which you attended: David Cole High School: Broadmoor High School
Name under which you attended: David Cole College: ITI Technical College
Dates Attended: 08 / 2008 - 04 / 2010 Degree Completed? Yes Degree Level: Associate Outstanding Balance? No
The information requested is protected by the Family Educational Rights and Privacy Act of 1973 (FERPA). I authorize Liberty University, Inc., on my
behalf, to submit requests for transcripts, diploma, or degree documents to any of the identified institutions and to execute (electronically or otherwise)
any transcript request forms on my behalf necessary for the release of such education records. I authorize the identified institutions to release to Liberty
University, Inc. the transcripts, diploma, or degree documents requested on my behalf by Liberty University, Inc. for purposes of my application for ad-
mission. Liberty University, Inc. may execute on my behalf any transcript request forms or other required documents necessary to complete this request.
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If you, as the institution/agency, cannot provide the requested transcript, please send notification to our address listed below and indicate the following: