Lutheran High School Transcript Request Form
Student's Name
*
First Name
Last Name
Date of Birth
*
Graduation Year/Transfer Out Date
*
Student's Email Address: (We will email you when the transcript is sent.)
*
example@example.com
Student's Phone Number (in case there is a question)
*
-
Area Code
Phone Number
Name of School/Recipient:
*
Mark all the options below that describe your request.
*
Email an Official copy to a college/university/program
Email an UNOFFICIAL transcript to my school email address.
Please include my ACT scores.
DO NOT include my ACT scores.
If your transcript is going to a college/university in the state of Missouri, or to one of the Concordia universities, you do NOT need to fill out the address section.
Transcript #1:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Transcript Submission Email Address: If Available
example@example.com
Transcript #2:
Name of School/Recipient:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Transcript Submission Email Address: If Available
example@example.com
Transcript #3:
Name of School/Recipient:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Transcript Submission Email Address: If Available
example@example.com
Transcript #4:
Name of School/Recipient:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Transcript Submission Email Address: If Available
example@example.com
Student's Signature
*
Submit
Should be Empty: