Transcript Request for Pacific High School

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

PLEASE READ ALL INSTRUCTIONS CAREFULLY

I hereby request that a transcript of my permanent records be sent to the following. I understand that my transcript will include all of my grades of record, grade average, class rank, and other permanent record information. ACT or SAT scores will NOT be sent with the transcript. I understand that it is my responsibility to request those scores directly from ACT or SAT. I also understand this request could take up to 7 school days to be processed.

**If you are applying to more than one college, please submit a separate request form for each college.

For questions or concerns, please contact the PHS Registrar, Mrs. Reeder at:
mreeder@mvr3.k12.mo.us or 636-271-1414 ext. 2006.

Email *

Today's Date *

YYYY

First Name
*

Middle Name
*

Last Name
*

Full Name at Graduation (if different from above)

Date of Birth
*

YYYY

Phone Number
*

Year of Graduation (or last year you attended PHS)
*

Did you complete the Missouri Options program?
*

Yes

I don't know

Reason for request
*

I want a copy for my records

Employment Verification

College or Trade School Application

Final Request (end of Senior year - to complete admission to school of choice)

Scholarships

NCAA / NAIA

Clear form

Never submit passwords through Google Forms.

This form was created inside of Meramec Valley R-III School District.

Does this form look suspicious? Report

Forms