TRANSCRIPT REQUEST FORM
Email address *
Full Name of Person Requesting Transcript: *
Contact phone number: *
Requesting transcript for: (Give full name of student at time of graduation, maiden name and/or any other names that might have been used when student was enrolled here) *
Date of birth: *
Year of graduation or last year in attendance: *
I request my high school records be sent to (please provide name, full address and/or fax number): *
Comments or special instructions: *
I understand that by typing my name below, I am authorizing Sparta R-III School District to release my education records to the person or organization listed above. *
Date request submitted: *
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