Official High School Transcript Request
Student Last Name
Your answer
Student First Name
Your answer
Student Middle Name
Your answer
Student Maiden Name
Your answer
Date of Birth
Your answer
Graduation Year
Your answer
Current Mailing Address (Street, City, State, Zip)
Your answer
Current Phone Number
Your answer
Email Address
Your answer
Method of Delivery
Mail To:
Your answer
Fax To:
Your answer
Preferred Notification for Transcript Pick Up
Reason for Request of Student Record:
Authorization Notification: My signature below authorizes McDowell Early College to release information and / or my student record and confirms I have completed all sections accurately and truthfully, including information verifying my identity. I understand that the recipient of the record(s) will use the indicated documents(s) for legitimate interests only and that the information contained therein shall not be further transferred or communicated to any other part or agency without my expressed written consent except under authority of Public Law 93-380, Educational Rights and Privacy Act. I understand that an incomplete form will not be processed and will be considered closed after expiration of the 30 day notification window. I declare under penalty of perjury that the foregoing is true and correct. Please enter your electronic signature below.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms