SHS Transcript Request Form*
*Current students, please see Holly Janzen, Registrar, for transcript requests.
Today's Date: *
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Person Requesting Transcript: *
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Phone: *
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Student Name: *
(Maiden) Last, First Middle
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Date of Birth: *
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Class of:
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No of requested copies: *
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Delivery Preference: *
Pickup: There is a $3.00 fee per Certified copy of your Official Transcript payable via cash or money order (exact change is appreciated). E-mail, Fax, Mail: Available ONLY for Post-Secondary Institutions or Employment Verification.
Recipient Fax Number:
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Attention To:
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Recipient E-mail:
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Mailing Address
Address, City, State, Zipcode
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