Request for Transcript
Official transcripts need to be mailed directly from Bloomfield High School.  You may request an unofficial transcript that will be sent directly to your for your personal records.  

Records for the years before 1990, please allow extra days for processing.  

Special Education, IEP/504 records must be obtained at the Pupil Personnel Office.  (585) 657-6121 ext. 4005
Sign in to Google to save your progress. Learn more
Today's Date *
Your date of birth *
Year you graduated
Year left if you did not graduate
Last Name *
First Name *
Middle Name
Maiden Name
Please Send *
School districts are only required to maintain health records for 10 years past graduation.  Hower, BCS Health Office often has records beyond those years.
Required
First Mailing Address *
Please include the receiver's name  and full address
Second Mailing Address- if necessary
Please include the receiver's name and full address
Your full name- this will be used as your electronic signature *
Your mailing address *
Please include your full mailing address
Your phone number *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bloomfield Central School District. Report Abuse