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Transcript Request Form
*Transcripts are considered official only when mailed or picked up due to the seal impressed upon the envelope and document(s).
Transcript requests may take up to two weeks to process.
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* Indicates required question
Email
*
Your email
Full Name Used In School
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Last 4 Digits of Social Security Number
*
Your answer
Phone Number
*
Your answer
Graduation or last year attended Roosevelt
*
Your answer
Last grade completed at Roosevelt
*
12
11
10
9
6-8
K-5
Please indicate which records you wish to obtain:
*
Transcript
Other (please indicate in additional comments section)
Indicate if you would like your records mailed, emailed, or picked up
*
Mailed
Emailed (will not be official unless sent directly to a school/business)
In person pick up
Mail to: Name, street address, city, state, zip code (if applicable)
Or email address
Your answer
Name of person picking up transcript (if applicable) *person must bring identification
Your answer
Additional information
Your answer
Send me a copy of my responses.
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