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Transcript Request Form
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* Indicates required question
Graduation Year
*
Your answer
Did you Graduate?
*
No, I left CGHS before graduating / without receiving a diploma
No, I am a current CGHS Student
Yes I did graduate from CGHS
Last Name when in attendance at CGHS
*
Your answer
First Name when in attendance at CGHS
*
Your answer
Student ID Number (N/A: if you cannot remember)
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Person Requesting (NOTE: Guardians can only request if their child has not yet graduated, once the student has graduated ONLY they can request their transcript, guardians CANNOT)
*
Self
Parent / Guardian
Official or Unofficial Copy
*
Official
Unofficial
Retrieval Method - *Official Copy CANNOT be emailed, must be mailed or picked up
*
Mail
Email
Pickup at CGHS
Who is it addressed to? (Example: University of Oregon or John Doe) N/A if not mailing
*
Your answer
Attn: (Ex: Attn: Admissions) N/A if not applicable
*
Your answer
Street Address: (Ex: 555 River Rd.) N/A if not mailing
*
Your answer
City, State Zip Code (Ex: Cottage Grove, OR 97424) N/A if not mailing
*
Your answer
Email address or university admissions email address if emailing to a college.
Your answer
Personal email address. (DO NOT LEAVE THIS BLANK)
*
Your answer
Personal Phone Number
*
Your answer
E Signature (Please Type your full name below in place of a signature for Request)
*
Your answer
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