DFHS Alumni Request for Official Transcript

Name *

First Middle Last (If you name has changed, please list the name when you were at DFHS)

Home Address *

Number, Street, Apt #, City & State, Zip Code

Date of Birth *

MM

/

DD

/

YYYY

Daytime Phone Number *

Please list the phone number without any characters: i.e. 9146931500

Dates of Attendance *

Date of Graduation (if applicable)

Name of person, agency or institution that you wish to receive this transcript *

Email Address of person, agency or institution that you wish to receive this transcript *