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.
Requestor First Name *
Requestor Last Name *
Business Name
Complete if applicable
Requestor's Mailing Address *
Include your street number, City, State and Zipcode
Who is making this request? *
What type of documentation are you requesting? *
List an email address we may use to correspond? *
Requestor Phone Number *
Please enter the best number to reach you during regular business hours.
Requestor Fax Number
If applicable
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.
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
Current or Former Student First Name *
Current or Former Student Middle Name *
Current or Former Student Last Name *
List the given or maiden name
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
Submit
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