GHS Request To Send Records

GLOBE UNIFIED SCHOOL DISTRICT #1
REQUEST TO SEND RECORDS
Are you requesting transcripts that are

OfficialUnofficial
Student's Legal Name:

First NameLast Name
Date of Birth

MonthDayYear
Date
Name used while attending Globe High School:
Did you receive a high school diploma?

YesNo
Graduation Year:
I, the undersigned, do hereby authorize Globe High School to release the following pertinent information and records:

Complete transcript of gradesImmunization recordsAIMS Test ScoresACT /SAT ScoresSpecial Education placement records (include psychological records)504 Plan
Mail records to:
(Allow 5 working days from the time of receipt of your request to process and mail your official transcript)
School or Individual
Address
City
State
Zip
Fax Record To

(unofficial records only)
Phone Number

Area CodePhone Number
Signature

Clear
Telephone#

Area CodePhone Number
Date

MonthDayYear
Date
Should be Empty:

GLOBE UNIFIED SCHOOL DISTRICT #1