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OHS Alumni Record Release Form
*Graduates/Past Students
complete this form to request your high school records/transcript from: Odessa High School, 713 S. 3rd Street, Odessa, MO 64076
PH: 816-633-5533 FAX: 816-653-4266
Registrar: Lorrie Sanders Email:
lsanders@odessar7.net
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* Indicates required question
Student's Name
*
Your answer
Current Street Address
*
Your answer
City & State
*
Your answer
Zip Code
*
Your answer
Student's Email Address
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Graduation Year
*
Your answer
Maiden Name or Alias (if applicable)
Your answer
Telephone Number
*
Your answer
Type of Record Requested?
*
Cumulative Permanent School Records (Transcript & Test Scores)
Health Records/Immunizations
Other
If "Other" was selected please describe.
Your answer
Where would like your records sent? (Check all that apply)
*
College or University
Employer
Self
Other
Required
If "Other" was selected please describe.
Your answer
Name of College/School/Agency
Your answer
Contact Person
Your answer
Street Address of School or Agency
Your answer
City, State & Zip Code
Your answer
Phone Number
Your answer
Fax Number
Your answer
Email Address (College/School/Agency Contact)
Your answer
How would you like these records sent?
*
Fax
Email
US Postal Service
Pick up
Permission to Release
*
I give permission for the Odessa R-VII School District to release all requested information.
Required
Name of Requester
*
Your answer
Date of Request
*
MM
/
DD
/
YYYY
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