Transcript Request Form
Gowanda Central School District
10674 Prospect Street
Gowanda, New York 14070
Janene Draegert, Keyboard Specialist
(716) 532-3325 Ext. 6014
* Required
Email address
*
Your email
First Name
*
Your answer
Middle Initial
Your answer
Last Name
*
Your answer
Maiden Name (if Applicable)
Your answer
Date of Birth (mm/dd/yyyy)
*
MM
/
DD
/
YYYY
Year of Graduation (or date left school)
*
Your answer
Contact phone number
*
Your answer
How would you like your transcript sent?
*
Fax to: (include name and fax number including area code)
Mail (enter complete address below)
I will pick up at Gowanda High School Counseling Office
Email: (provide email address)
Other:
Type complete address if you want transcript sent in the mail.
Your answer
A copy of your responses will be emailed to the address you provided.
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