Provo College - Certification of High School Diploma

CERTIFICATION OF HIGH SCHOOL DIPLOMA/GED TRANSCRIPT REQUEST
Student's Name:
Name of High School/ GED Test Site:
Address:
City
State
Zip Code:
Year Graduated/Tested:
Name (as it appears on transcript):
SS#
Date of Birth:
Mother's Name:
Father's Name:
Please send a copy of my transcripts (including graduation date) to:

Provo College

1450 West 820 North

Provo, Utah 84601

PH: (801)818-8900

FX: (801)263-6520

By signing this form, I hereby certify that I have received a high school diploma or GED and release any information regarding such documentation to Provo College.
Student's Signature
Date