1111 Superior Avenue, Cleveland, OH 44114 • Phone: 216.838.5437 • Email: StudentAssignments1@ClevelandMetroSchools.org
Schools that are still in operation maintain their own records. If the last school you attended is an open/active school within the
Cleveland Metropolitan School District, you must request records from that school.
This request form is for inactive/closed schools only.
ALL the following student information is needed to complete this transcript request:
(Check one)
o
Transcript Request
o
Graduation Verication Letter
o
Verication of Birth Date
Revised 1/8/2018
Department of School Choice & Enrollment
Request for Transcripts – Inactive / Closed Schools
Current Name:
Former/Maiden Name:
Current Address: City: State: Zip:
Date of Birth: Daytime Phone Number:
Last Cleveland Municipal School Attended:
Indicate if you attended more than one CMSD High School
o
Yes
o
No If yes, name of school:
Year(s) Attended: Graduation Year: Withdrawal Year:
Father’s Name: Mother’s Name:
LAST NAME FIRST NAME MI
LAST NAME FIRST NAME MI
Please include a stamped envelope that bears the address of the recipient(s).
Request can take up to 15 business days to process.
(Check one only)
o
Mail
o
Pick Up
o
Email Unofcial
Email Address:
(1.) Requested Information To Be Sent To:
Name of Business/College:
Street Address:
City/State/Zip Code:
(2.) Requested Information To Be Sent To:
Name of Business/College:
Street Address:
City/State/Zip Code:
Requestor Signature: Date:
