Forms Request for Alumni

Family Information

First Namerequired

Last Namerequired

Email Addressrequired

Date of Birthrequired (mm/dd/yyyy)

Year of Graduationrequired (mm/dd/yyyy)

Forms Requested (select all that apply)*

Certificate of Graduation Official Transcripts Copy of Diploma Other

Please specify 'other' forms requested

Use and Disclosure*

I, the undersigned, do hereby authorize The American Community School, Amman to disclose and deliver the requested education records to the person/organization mentioned below.

I agree

Delivery Options*

Please select how you wish to receive the requested forms.

Soft Copy (email) Hard Copy

Namerequired

Organization

Email Addressrequired

Select how you wish to receive the documents:

Pick Up Mail

Who will pick up the documents?

Self Other

Name of person picking up documents:

What type of mail?

Regular Courrier

First & Last Name

Organization/University

Street Address

State

Zip Code

Phone Number

Country

Courrier Service

You will receive an email with details about fees and payment options.

Authorization*

The electronic signature below gives my voluntary authorization for the use, disclosure and/or redisclosure of the information identified above. I understand that, upon my request, I am entitled to a signed copy of this authorization form and the records to be disclosed. Unless sooner terminated in writing, this release shall remain effective for 1 year from the date signed below. A copy of this release shall be as sufficient to authorize release of information identified above as the original signed by me.

I agree

Signaturerequired

Daterequired (mm/dd/yyyy)

Please send a confirmation email to the address below*:

Please provide an email address where we can send a link to your current form.

Email Address :