Transcript Request

CTE Programs Transcript Request
STUDENT INFORMATION:
Name*

First NameMiddle InitialLast Name (while attending Haney)
Student's Current Email*
example@example.com
Social Security Number*
Date of Birth*

MonthDayYear
Last year enrolled*
Program(s) Attended*
HANEY DOES NOT HAVE GED OR HIGHSCHOOL TRANSCRIPTS!

To request GED transcripts, go to ged.com
MAIL TRANSCRIPT TO:
Name of Person, Business, or Institution *
Address*

Address

Street Address Line 2

CityState

Zip
YOUR CURRENT CONTACT INFORMATION:
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
OptionalFormat: (000) 000-0000.
Transcript Fee is $15.00 per request.

Only cashier’s checks or money orders are accepted by mail.
Student Signature*
Date

MonthDayYear
Date
Should be Empty:

CTE Programs Transcript Request