Request Transcript Form

Please not that only students that have successfully completed the Paramedic Program should submit a Transcript request.
For classes that took place prior to 2019, we may require the student send us a copy of their Course Completion Certificate. Click HERE to upload your certificate.
Unfortunately Pelham will not be able to send transcripts electronically (fax/email).

Student Details

Name *

First

Last

Address *

Address Line 1

City

State

Zip Code

County *

County

Cell *

Email *

Email

Confirm Email

Date of Birth *

Layout

Year you attended the course *

Course Code *

Address of insititute you would like your Transcript mailed to

Name of receiving facility *

Name of department

Optional

Address *

Address Line 1

City

State

Zip Code

County *

County