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.
Last Name *
Your answer
First Name *
Your answer
Maiden Name (if applicable)
Your answer
Year of Graduation *
Your answer
Date of Birth *
Your answer
Current Telephone Number *
Your answer
Email
Your answer
Current Mailing Address *
Your answer
Please select type of TRANSCRIPT *
Please note that individuals may not receive an OFFICIAL Transcript.
Required
OFFICIAL TRANSCRIPT RECIPIENT INSTITUTION NAME
Your answer
OFFICIAL TRANSCRIPT RECIPIENT INSTITUTION MAILING ADDRESS
Your answer
OFFICIAL TRANSCRIPT RECIPIENT INSTITUTION PHONE #
Your answer
OFFICIAL TRANSCRIPT RECIPIENT INSTITUTION FAX #
Your answer
OFFICIAL TRANSCRIPT RECIPIENT INSTITUTION CONTACT NAME
Your answer
UNOFFICIAL TRANSCRIPT RECIPIENT NAME
Your answer
UNOFFICIAL TRANSCRIPT RECIPIENT MAILING ADDRESS
Your answer
UNOFFICIAL TRANSCRIPT RECIPIENT PHONE#
Your answer
UNOFFICIAL TRANSCRIPT RECIPIENT FAX#
Your answer
UNOFFICIAL TRANSCRIPT RECIPIENT EMAIL
Your answer
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.
Your answer
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