Lodi High School Alumni Transcript Request Form
This electronic form serves to provide Lodi High School Alumni with the opportunity to submit a Lodi High School Alumni Transcript Request form. This request must be submitted by the individual indicated below. No other persons shall be permitted to submit this form on the behalf of another without written consent from the Principal of Lodi High School. Any attempt by any other persons shall be considered fraud and may lead to criminal charges.
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Last Name *
First Name *
Maiden Name (if applicable)
Year of Graduation *
Date of Birth *
Current Telephone Number *
Email
Current Mailing Address *
Please select type of TRANSCRIPT *
Please note that individuals may not receive an OFFICIAL Transcript.
Required
OFFICIAL TRANSCRIPT RECIPIENT INSTITUTION NAME
OFFICIAL TRANSCRIPT RECIPIENT INSTITUTION MAILING ADDRESS
OFFICIAL TRANSCRIPT RECIPIENT INSTITUTION PHONE #
OFFICIAL TRANSCRIPT RECIPIENT INSTITUTION FAX #
OFFICIAL TRANSCRIPT RECIPIENT INSTITUTION CONTACT NAME
UNOFFICIAL TRANSCRIPT RECIPIENT NAME
UNOFFICIAL TRANSCRIPT RECIPIENT MAILING ADDRESS
UNOFFICIAL TRANSCRIPT RECIPIENT PHONE#
UNOFFICIAL TRANSCRIPT RECIPIENT FAX#
UNOFFICIAL TRANSCRIPT RECIPIENT EMAIL
ELECTRONIC SIGNATURE
By entering your Electronic Signature, you are agreeing to the terms of this request form. You agree your electronic signature is the legal equivalent of your manual signature on this request form. Your Electronic Signature indicates that you are the individual as indicated in this request form and that the use of this electronic request form by any other individual shall be considered fraud and legal action may be taken.
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