Norwich Public Schools Transcript & Diploma Request Form

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Please fill out this form to the best of your ability.

If you need further information, please contact: Amber Scribner (860) 823-4245 for assistance.

Untitled Title

Full Name (First Middle Last) *

If you had a different name on your records, please indicate this.

Date of Birth: MM/DD/YYYY *

YYYY

Name of School Attended *

Norwich Public Schools

Norwich Free Academy (For an NFA diploma/transcript, you will need to contact NFA directly)

Thames River Academy

Norwich High School

Other:

Please indicate date of graduation and/or

dates of attendance (if applicable)

Contact Information:

Phone number and E-mail address

Please include any additional directions (where to send transcripts, records, etc.) or any additional information that may be helpful in locating your records. *

What type of information are you requesting? *

High School Diploma

High School Transcript

Proof of Attendance

Other:

Please check below to indicate that you give Norwich Public Schools permission to release your records. *

I consent to having my records release to either myself or another party as indicated above.

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