Dixie District Schools Transcript Request

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PLEASE ALLOW 24 TO 48 HOURS FOR YOUR REQUEST TO BE PROCESSED

Student Last Name (while in high school) *

Current Last Name (if different from above)

Student First Name *

Student Middle Name *

Dixie District School Last Attended *

Email Address *

Telephone Number *

Student Date Of Birth *

YYYY

Student Social Security Number (last four digits) *

High School Graduation Year (enter year or n/a) *

What is transcript for? *

School

Military

Employer

Other:

Name of School/Employer *

Enter school/employer name and address, if available. If not sending to school/employer, enter N/A.

Please choose a delivery method *

YOU MAY CHOOSE MORE THAN ONE DELIVERY METHOD

Send electronically to school (if not in electronic system, transcript will be mailed)

Email me a copy (this is not an official transcript)

Pick up (enter date you want to pick up below - transcripts not picked up within a month of the request will be destroyed)

Mail (enter mailing address below)

Required

Date of pick up, mailing address, or additional comments

Please fill out a separate request for each school/employer (recipient). Click on submit and then click "submit another request".

Submit

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