Centralia High School Transcript Request
Transcript Request
Sign in to Google to save your progress. Learn more
Email *
Name: *
Legal Name when enrolled at CHS: *
What is your current address: *
Phone number: *
(555) 555 - 5555
Date of Birth: *
MM
/
DD
/
YYYY
Graduation Date/Year (or dates of attendance) *
Please send a copy of my high school transcript to:   *
Please include the school or business name and address
Please send a copy of my high school transcript to:  
Please include the school or business name and address
Please fax a copy of my high school transcript to:
Please include Attention to and fax number
Have you applied to the college/technical school that you are sending your transcript to? *
I understand that it may take 3-5 business days to process my request. *
Required
Typing your name below gives Centralia High School permission to forward your transcript information to the above location(s). *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Centralia Public Schools. Report Abuse