Health Sciences Charter School Transcript Request Form
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Enter your FIRST and LAST name *
Did you graduate? *
If yes, please indicate the YEAR of graduation
If you did not graduate, please indicate the LAST year you attended Health Sciences
 Would you like an Official Sealed Transcript (these are what most colleges will require) - OR - would you prefer an Unofficial Student Copy (this would be for your records or for an employer)*
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Please enter the NAME and MAILING ADDRESS of where you would like your transcript mailed*
If INSTEAD you would like it FAXED, please indicate the fax number, with area code, and to who's attention
Please note your e-mail address, or phone number, if we should need to contact you with a question
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