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Self-Reported Transcript
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Student Information
First Name
Middle Name
Last Name
Email Address
Birthdate
Birthdate
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Parent Information
First Name
Last Name
Relationship to student
Father
Mother
Legal Guardian
Other
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
Email address
School Information (if applicable)
School Name
School Address
School Address
Country
Street
City
Region
Postal Code
Email
Grade 9
Course 1
Grade
Credit
Course 2
Grade
Credit
Course 3
Grade
Credit
Course 4
Grade
Credit
Course 5
Grade
Credit
Course 6
Grade
Credit
Course 7
Grade
Credit
Course 8
Grade
Credit
Course 9
Grade
Credit
Course 10
Grade
Credit
Total Credits for Grade 9
Grade 10
Course 1
Grade
Credit
Course 2
Grade
Credit
Course 3
Grade
Credit
Course 4
Grade
Credit
Course 5
Grade
Credit
Course 6
Grade
Credit
Course 7
Grade
Credit
Course 8
Grade
Credit
Course 9
Grade
Credit
Course 10
Grade
Credit
Total Credits for Grade 10
Grade 11
Course 1
Grade
Credit
Course 2
Grade
Credit
Course 3
Grade
Credit
Course 4
Grade
Credit
Course 5
Grade
Credit
Course 6
Grade
Credit
Course 7
Grade
Credit
Course 8
Grade
Credit
Course 9
Grade
Credit
Course 10
Grade
Credit
Total Credits for Grade 11
Grade 12
Course 1
Grade
Credit
Course completed?
Course completed?
Yes
Anticipated completion date
Course 2
Grade
Credit
Course completed?
Course completed?
Yes
Anticipated completion date
Course 3
Grade
Credit
Course completed?
Course completed?
Yes
Anticipated completion date
Course 4
Grade
Credit
Course completed?
Course completed?
Yes
Anticipated completion date
Course 5
Grade
Credit
Course completed?
Course completed?
Yes
Anticipated completion date
Course 6
Grade
Credit
Course completed?
Course completed?
Yes
Anticipated completion date
Course 7
Grade
Credit
Course completed?
Course completed?
Yes
Anticipated completion date
Course 8
Grade
Credit
Course completed?
Course completed?
Yes
Anticipated completion date
Course 9
Grade
Credit
Course completed?
Course completed?
Yes
Anticipated completion date
Course 10
Grade
Credit
Course completed?
Course completed?
Yes
Anticipated completion date
Total Credits for Grade 12
Has the student completed all graduation requirements?
Has the student completed all graduation requirements?
Yes
No
Graduation date
I understand that self-reported transcripts must be submitted by the parent or person authorized to report on the student's grades. It cannot be submitted by the student. I understand that the intentional falsification of transcripts is grounds for denial for admission to Redeemer University.
I have the permission of the student and authority to share these transcripts with Redeemer University.
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