STUDENT TRANSCRIPT VERIFICATION FORM

Instructions:

This form is for employers, yeshivot, seminaries, colleges, universities, and other authorized institutions to verify the authenticity of a high school transcript issued by International Torah Academy (ITA). Please complete all sections to ensure a prompt response.

NAME OF INSTITUTION/ORGANIZATION:

Contact Person:

Position/Title:

Phone Number:

Email Address:

Multi-line address

Country/Region

Address

City

Zip / Postal code

STUDENT INFORMATION FOR VERIFICATION:

Student's Date of Birth:

Month

Day

Year

Years Attended ITA:

Graduation Date:

ITA Student ID Number (If Known):

REASON FOR VERIFICATION

Verification Type:

General Transcript Validation

Specific Information Request (e.g., GPA, course details)

Name Reason Here:

Preferred Verification Method:

Email (PDF Verification Letter)

Mail (Hard Copy Verification Letter)

By submitting this form, I certify that I am authorized to request this information and understand that all records will remain confidential and provided solely for the purpose stated above.

Signature

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Date of Request

Month

Day

Year

STUDENT TRANSCRIPT VERIFICATION FORM

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