PUHSD Alternative Ed Transcript Request for MVCA, Maidu, Chana, or Thayer Douglass
Please fill out all of the info below in order to request transcripts.
Former & Current Students who are 18 or older MUST request their own transcripts.  ***PLEASE NOTE THAT THIS MAY TAKE UP TO 2 WEEKS TO FILL***
Sign in to Google to save your progress. Learn more
Email *
What school do you currently attend, or attended in the past? 
(If your school is not listed below we cannot fill your request. Please contact the district office for further information.)
*
What year did you graduate? If you did not graduate, what year did you last attend? *
This request may take up to 2 weeks to fill. If this is a TIME SENSITIVE REQUEST, please input the required submission date below.  If not, please move on to the next question.
MM
/
DD
/
YYYY
Your Current Full Name *
Your Current Phone Number, including Area Code *
Your Full Name During High School *
Date of Birth *
MM
/
DD
/
YYYY
You will receive an emailed unofficial copy once your transcript has been processed. In addition to this will you need any official copies mailed to you or an outside institution? (If yes, please move on to the next question.) *
MAILING ADDRESS #1
***PLEASE NOTE*** If you are receiving an official copy at your own address, DO NOT OPEN THE ENVELOPE- it must remain SEALED in order for it to be considered official. 
Name of Person or Institution receiving the transcript
Street Address
City
State
Zip Code
MAILING ADDRESS #2
***PLEASE NOTE*** If you are receiving an official copy at your own address, DO NOT OPEN THE ENVELOPE- it must remain SEALED in order for it to be considered official. 
Name of Person or Institution receiving the transcript
Street Address
City
State
Zip Code
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Placer Union High School District. Report Abuse