TRANSCRIPT REQUEST FORM
Allow 2 business days for processing
Completed Request Forms should be turn into the registrar of the high school you attend or graduated.
PLEASE PRINT OR TYPE CLEARLY
Signature
required
Student Name Birthdate Today’s Date
Student Status Current Student (Grade) Graduated (Year) Withdrawn
Address
Street City State Zip
Phone Email
Fines/Fees must be cleared with Bookkeeper before official transcript will be issued.

Fines/Fees cleared Hold for payment of $ in outstanding fines.
Bookkeeper Signature (not required for unofficial transcript)
Name
Address
City State Zip
Name
Address
City State Zip
Processing Instructions:
Send (#) to address/es below Hold (#) for in-person pick up
Fax to Fax number
Total official transcripts requested Unofficial transcripts requested
Receipt # $3 cost for Graduated or Withdrawn Students who have been out of the school building for 4 or more years.
Comments:
Name
Address
City State Zip
Name
Address
City State Zip
Mail
transcript
to:
Mail
transcript
to:
Transcript requested for:
Scholarship
College Application Other
Student/Parent Signature
Office use only
Transcript/s processed on:
Mail Fax Pick-up Email (Unofficial Only)
Initials Total transcripts processed
click to sign
signature
click to edit
click to sign
signature
click to edit