www.aspenlaurel.edu301-494-9387 Transcript Request Form "*" indicates required fields To receive a copy of your academic transcript, complete this form. Please allow 7 to 30 days for processing. Student InformationFirst Name:*Last Name:*Name While Attending (if different):Date of Birth:* MM slash DD slash YYYY Last 4 Digits of SSN:*Phone*Email* Program AttendedProgram Attended* Cosmetology Other Dates Attended:From* MM slash DD slash YYYY To* MM slash DD slash YYYY Graduated?* Yes No Transcript Delivery DetailsDelivery Method:* Pick-up Email (Unofficial) Mail to (Select to enter below): Name/Institution:*City:*State:*Address:*Zip Code:*Required DocumentPlease upload a copy of your government-issued ID with your request.*Accepted file types: jpg, png, pdf, Max. file size: 15 MB. Processing & PaymentNumber of Copies Requested ($25.00 fee per transcript): Quantity Price: $25.00 Quantity Total Fee Payment method* I will mail a cashier’s check or money order I will pay by PayPal Mail your payment to: Aspen Beauty Academy – Laurel Attn. Director 3535 Laurel Fort Meade Road Laurel, MD 20724 Payment MethodPayPal Checkout MasterCardVisaMaestroSupported Credit Cards: MasterCard, Visa, Maestro Card Number Expiration Date Security Code Cardholder Name There is a 3% surcharge for visa and 4% for other credit cards. There is no surcharge for debit cards. AuthorizationSignature*Date* MM slash DD slash YYYY