RECORDS REQUEST FORM
Please complete the form below and it will be submitted to the Counseling Office.
Should you require additional assistance please call 330-877-4285 and ask for Tanya Reynolds or Karen Davidson.
Email address *
Name *
Your answer
Maiden Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Graduation Year *
Your answer
If you did not graduate what year did you withdraw from Lake High School
Your answer
Address *
Your answer
Phone Number *
Your answer
Records Needed *
Required
Preferred delivery method for your transcript and/or records request *
Name, address, and/or fax number of college, job, etc. to deliver transcripts and/or records to *
Your answer
Submit
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