Bentley Community Schools

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Name:  ______________________________________________________________

Telephone(s):  ___________________________________________________

Graduation Year:  ______________              Date of Birth:  ______________

Did you walk with your class or did you complete summer work to earn your diploma?

_______  Walked with class                ________  Summer work

What was your full and legal name when you graduated from Bentley High School?

_______________________________________________________________________

Please choose one of the following options:

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________  Fax the transcript to: _____________________________________

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