Immaculata High School Transcript Request Form
Leavenworth Regional Catholic Schools Administration office is sending transcripts on behalf of Immaculata High School. In accordance with the U.S. Department of Education’s federal law, the Federal Educational Rights and Privacy Act, (FERPA), requests must be made by the TRANSCRIPT OWNER. Transcripts will not be released to any person, organization, or institution without authorization of the TRANSCRIPT OWNER.

*Transcript Owner may use this form to request official or student copies of their transcript to be sent to an institution/organization/employer only. Transcripts will not be sent to a personal address.
*In order for a request to be processed, alumni must be in good standing with Immaculata High School.
*Please allow 3 business days to complete this request.

Any questions regarding transcripts may be emailed to lrcsadmin@leavenworthcatholicschools.org.

Date of Request *
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Name (First, middle, last *maiden* name) *
Your answer
Birth Date *
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DD
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YYYY
Year of Graduation *
Your answer
Contact Phone Number *
Your answer
Email Address *
Your answer
Type of transcript requested *
Required
Number of transcripts requested *
Your answer
Address of Institution/Employer/Organization to send transcript *
Your answer
By signing my electronic signature below, I hereby give Leavenworth Regional Catholic Schools permission to release my Immaculata High School transcript which may include proof of credits, test scores, class rank, grade point average, and graduation date. *
Electronic Signature *
Your answer
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