Galesburg High School Consent for Release of School Records
I hereby consent to the release of the following information from the school student records of:
Name (Last, First)
Please also provide a different last name if it was used when you attended.
Year of Graduation
Date of birth
Purpose of sending this transcript
Please release the above information to the following person/college:
Please include name and full address
The fee to send transcripts at Galesburg High School is three transcripts for $1.00. Payment may be made in person at Galesburg High School, or a check may be sent via mail. Contact Mrs. Stephan at (309) 973-2258 with any questions or if you need assistance.
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This form was created inside of Community Unit School District #205.
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