* Required

Records Release Form

This form is required for ALL record releases EXCEPT transcript requests for current student college applications. Please allow two weeks for all requests.

Please select one of the following:required

What is your current grade?required

What year did you graduate?required

What was the last year you attended Charlotte Christian?required

By entering your full name in the spaces provided below, you are authorizing Charlotte Christian to send a copy of your transcript, standardized test scores, and pertinent records to the school(s) listed below.

Student's First Namerequired

Student's Middle Namerequired

Maiden Name (if applicable)

Student's Last Namerequired

Student/Alumni Date of Birthrequired

Phone Numberrequired

Enter the names and addresses of the schools where you would like your forms sent.

1. School Name & Address

2. School Name & Address

3. School Name & Address

Please send a confirmation email to the address below*: