Please list the name as it would be listed on your transcript. (Include maiden name if applicable.) *
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Last Name, First Name, Middle Name *
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Graduation Date (or last date of attendance) *
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Current mailing address *
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Last 4 digits of your Social Security Number *
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Birthdate *
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Current Phone Number *
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Would you like your transcript mailed, faxed, or picked up at TCHS? *
If your transcript it to be MAILED, please list the name of the college or place of employment AND the complete address where it should be mailed:
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If your transcript it to be FAXED, please provide the fax number including the area code. If it should be sent to anyone's attention, please provide that individual's name.
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Today's date *
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Comment
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Electronic Signature
By providing my electronic signature below, I authorize my transcript request to be processed.
Current legal name (First middle last name) *
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A copy of your responses will be emailed to the address you provided.