www.aspenlaurel.edu301-494-9385 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 InformationFull 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 DetailsNumber of Copies Requested:*Delivery 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 & Payment $50.00 fee per transcript Payment method* I will mail a cashier’s check or money order I will pay by credit/debit card. Mail your payment to: Aspen Beauty Academy – Laurel Attn. Director 3535 Laurel Fort Meade Road Laurel, MD 20724 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 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:*Reset Date* MM slash DD slash YYYY
