Transcript Release Authorization Form  
Former students, please use this form to request School Transcripts. Current students, please contact your school guidance counselor to release transcripts. Please note School Transcripts will only be released upon authorization via electronic signature of the former student (or parent/guardian if the student is under 18 years of age). Also please note, the creation and opening of Essex North Shore Agricultural & Technical School in September 2014 was the result of merging two former school districts, "North Shore Regional Vocational School District"/"North Shore Technical High School" and "Essex Agricultural & Technical High School". Please note, former students of "Essex Agricultural & Technical Institute" in the post-secondary program (not for grades 9-12) should contact North Shore Community College for transcripts.
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Student Information
Please provide the information below regarding yourself as a former student.
First Name *
Middle Name *
Last Name *
Name Upon Graduation / Maiden Name (if applicable)
Date of Birth *
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Street Number and Address
City, State, Zip
Phone *
Email
Year of Graduation *
School of Graduation *
The creation and opening of Essex North Shore Agricultural & Technical School in September 2014 was the result of merging two former school districts, "North Shore Regional Vocational School District" and "Essex Agricultural & Technical High School". Please note former students of "Essex Agricultural & Technical Institute" in the post-secondary program (not for grades 9-12) should contact North Shore Community College for transcripts.
Transcript Release Information
Please provide the information below about who and where you would like the transcript sent. Please note, most institutions require that we send them an official school transcript directly to avoid tampering, please check with the institution on which delivery method is best for them.
Transcript Type Requested
"Official School Transcripts" are sent directly from us to an educational institution, they are signed, certified, and sealed. "Unofficial School Transcripts" are for personal use, and will not be accepted by an educational institution.
Clear selection
Contact Name
Name of College, Union, Training Program, Employer, Agency, etc. if applicable
Mailing Address
If you would like the transcript mailed, please provide the full address of where you would like it sent. NOTE: Official Transcripts will NOT be mailed directly to graduates.  
Fax Number
If you would like the transcript faxed, please provide the fax number. NOTE: Official Transcripts will NOT be faxed directly to graduates.
Email Address
If you would like the transcript emailed, please provide the email address. NOTE: Official Transcripts will NOT be emailed directly to graduates.
Requested Delivery Date
MM
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DD
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YYYY
Certification
Please provide the information below to authorize us to release your transcripts.
Electronic Signature *
By entering your name below and clicking the submit button you attest to being the student indicated above, that the information provided herein is true and complete, and that you are authorizing your transcript be released to the person(s) indicated above under the penalty of perjury. If student is under 18 years of age, please submit Parent Name
Submit
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