Transcript Release:

To the Registrar: The following student has applied to Free Grace Seminary.  We would like to request authorization to have their academic transcript forwarded to Free Grace.

Please mail transcripts to:  Free Grace Seminary - Admissions Office - P.O. Box 2707 - McDonough, GA 30253-1741

Student Information:
________________________________________________________________
Last Name First MI Maiden
________________________________________________________________
Current Address
________________________________________________________________
City State Zip

Date of Birth ____/_____/_______ Social Security # ________-_____-___________

School Information:
_________________          _________________          ________________
Date Attended                       Date Graduated                  Student I.D. #

I hereby authorize the release of my official transcript to Free Grace Seminary.

Student Signature __________________________________ Date ___/___/_____

Parent Signature ___________________________________ Date ___/___/_____
(Required if student is under 18 years of age)