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Transcript Request Form
Please fill in the following information. Allow 1-3 school days for the transcript to be sent. Questions about transcript requests may be directed to
lkeseman@lhne.org
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Email
*
Your email
Full name of person requesting transcript:
*
Your answer
Phone number of person requesting transcript:
*
Your answer
First and last name of student AS IT APPEARS ON THE TRANSCRIPT:
*
Your answer
Graduation Year:
*
Your answer
Date transcript is needed by:
*
MM
/
DD
/
YYYY
Name of person/business/college/organization receiving the transcript:
*
Your answer
Complete mailing address AND/OR email address to which the transcript should be sent:
*
Your answer
Reason for transcript request
*
Applying for college admissions
Applying for scholarship
Final transcript
Applying for a job
Other
Required
A copy of your responses will be emailed to the address you provided.
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