JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
REQUEST FOR RECORDS
Complete the below questionnaire if you need information mailed, or sent electronically to an institution of higher learner. Potential employers may also complete to verify the graduation of a former student.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Requestor First Name
*
Your answer
Requestor Last Name
*
Your answer
Business Name
Complete if applicable
Your answer
Requestor's Mailing Address
*
Include your street number, City, State and Zipcode
Your answer
Who is making this request?
*
Personal Request
Potential Employer
Other:
What type of documentation are you requesting?
*
High School Transcript
High School Diploma
Verification of High School Graduation Date
Other:
List an email address we may use to correspond?
*
Your answer
Requestor Phone Number
*
Please enter the best number to reach you during regular business hours.
Your answer
Requestor Fax Number
If applicable
Your answer
How would you like the information communicated or sent?
*
High School transcripts can be sent via the internet for students who graduated in 2008 and beyond.
Send electronically via TREx- Your high school transcript can be sent using a secure online record website. This is the quickest way for your transcript to reach the school. Keep in mind that some private universities do not participate. If this is the case, your transcript will be mailed.
U.S. Mail - Post secondary schools accept an official transcript when mailed directly from the registrar.
I would like to pick up personally - Pick up at the administration building, which is located at 108 Hargrove, Era.
Fax the information - Post secondary schools do not accept official high school transcripts by fax.
Email the information - Post secondary schools do not accept official high school transcripts by email, however you may use for employment or a scholarship application.
Where would you like the information sent?
Please list the institution name and location(ex: A&M Univ.- Commerce), personal or business name and full mailing address
Your answer
Current or Former Student First Name
*
Your answer
Current or Former Student Middle Name
*
Your answer
Current or Former Student Last Name
*
List the given or maiden name
Your answer
Current or Former Student Date of birth
*
MM
/
DD
/
YYYY
Graduation year, or last year attended Era High School
*
If unsure, please list your best estimation
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Era ISD.
Does this form look suspicious?
Report
Forms
