Our Savior Christian Academy Transcript Request

• Official Transcripts are mailed directly to

the recipient. • Parent copies are available but are not

considered official. • Charges may apply.

o First request – free o Multiple requests $3.00 each.

Return this form to: Our Savior Christian Academy

1103 S Commericial Ave Smithville, MO 64089 school@oursavioracademy.org

Student Name: ________________________________________________________________ Address: _____________________________________________________________________ _____________________________________________________________________ Email: _______________________________________________________________________ Transferring to OSCA Name of School or Institution Student is Transferring From: ___________________________________ Address: ____________________________ ___________________________________ Email: ______________________________ Phone: _____________________________

Transferring from OSCA Name of School or Institution Student is Transferring To: ___________________________________ Address: ____________________________ ___________________________________ Email: ______________________________ Phone: _____________________________

Signature Parent of Guardian: ________________________________ Date: ______________