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
Mark all the options below that describe your request.
*
Email an Official copy to a college/university/program
Print a hard copy which I will pick up in Student Services.
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:
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 #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: