Former Student Transcript Request Form

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Transcripts for graduates are $5.00 each. Checks can be made out to LBHS. Payment should be mailed to the School Counseling Department at 1435 Roanoke Road, Daleville, VA 24083.

What was your full name when you attended LBHS? *

What is your current phone number in case we cannot locate your transcript? *

Date of Birth *

YYYY

Graduation Year *

How would you like your official transcript sent? *

Email (Please provide email address below)

Mailed via United States Postal Service (Please provide name and address below)

BOTH

Where would you like your official transcript emailed?

Where would you like your official transcript mailed?

Submit

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