Transcript Request Form
Use this form to request a transcript from the Lebanon High School Guidance Department
Name (Last, First)
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Prior Name(s) (Last, First)
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Years of Attendance (i.e. 2012-2017)
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Date of Birth (mm/dd/yyyy)
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DD
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YYYY
Number of Copies
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Phone Number
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Name of College/Organization
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Mailing Address
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City, State, Zip
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Fax Number
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Delivery Method
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