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

Signature field is empty.

Date of Request

Month

Day

Year

STUDENT TRANSCRIPT VERIFICATION FORM

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