Alumni Transcript Request Form
This form may be used to send up to four transcripts. A student 18 years or older may sign this release without the permission of a parent or guardian.
* Required
Email address
*
Your email
Student First Name
*
Your answer
Student Middle Name
Your answer
Student Maiden Name (if applicable)
Your answer
Student Last Name
*
Your answer
Student Current Address
*
Please include street address, city, state and zip
Your answer
Student Current Phone
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Year of Graduation
Your answer
High School Guidance Counselor
Barb Buehler
Christopher Cline
Lori Heberling
Steve Hutton
Jack Miller
Heather Rohrer
Other:
Clear selection
Reason for Release
Post secondary education
Employment
Military service
Other:
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