Jackson Liberty School District Transcript Request Form
Please be advised *An OFFICIAL TRANSCRIPT is a legal document that must be forwarded to the College/Employer directly from this office. Should you choose to have it given to you, it cannot be opened by anyone other than the party it is intended for. If you would like an unofficial copy for your records please indicate that in the form. 
There is a $2.00 fee for each transcript request. Please mail your $2.00 by check or cash to:

Jackson Liberty High School
Guidance Office
125 North Hope Chapel Road
Jackson, NJ 08527

Please allow 5 business days for processing. We will not hold up your request for payment. We use the honor system and kindly ask that you forward the payment when you can. 
Email *
Student Name while attending High School *
Maiden Name (if applicable)
Date of Birth *
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Year of Graduation
Did you graduate from an out of district placement School or Did you graduate when you turned 21?
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Current Street Address (City, State, Zip)  *Note - if you do not include city, state and zip code we will not mail a hard copy). *
Phone Number *
Send Transcript to:
Attention
Street Address (City, State, Zip)
or email *Note - if you do not include city, state and zip code we will not mail a hard copy).
 *
Would you like to be sent an unofficial copy for your own records
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Your Email Address: *
Signature (Type your name) 
I agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature. I further agree my signature on this document is as valid as if I signed the document in writing. This is to be used in conjunction with the use of electronic signatures on all forms regarding any and all future documentation with a signature requirement, should I elect to have signed electronically. Under penalty of perjury, I herewith affirm that my electronic signature, and all future electronic signatures, were signed by myself with full knowledge and consent and am legally bound to these terms and conditions. 
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Date of Request *
MM
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DD
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YYYY
Submit
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