Transcript Request Form
THIS FORM IS TO REQUEST A HIGH SCHOOL TRANSCRIPT FROM THE COUNSELOR.
Please be advised that you are allowed 5 official transcript requests per year at no cost.
After 5 requests a fee of $3 per transcript must be paid before they will be processed.
Payments must be made in the Front Office.
Please do not submit a request for transcripts with less than one week's notice.
Requests will typically be processed within 5-7 business days.
General Information
First and Last Name:
*
Campus:
*
Tyler
Longview
Palestine
Grade:
*
Junior
Senior
If you are a Freshman/Sophomore, come by my office.
E-mail:
*
Phone:
*
Request Information
Type of Transcript:
*
Unofficial
Official
Quantity:
*
1
2
3
4
5
Delivery Method:
*
Pick-Up in Front Office
Forward to Organization
Date Needed:
*
-
Month
-
Day
Year
Date
Request #1
Institution/Organization #1:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date Needed:
*
-
Month
-
Day
Year
Date
Additional Comments/Details:
Request #2
Institution/Organization #2:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date Needed:
*
-
Month
-
Day
Year
Date
Additional Comments/Details:
Request #3
Institution/Organization #3:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date Needed:
*
-
Month
-
Day
Year
Date
Additional Comments/Details:
Request #4
Institution/Organization #4:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date Needed:
*
-
Month
-
Day
Year
Date
Additional Comments/Details:
Request #5
Institution/Organization #5:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date Needed:
*
-
Month
-
Day
Year
Date
Additional Comments/Details:
Thank you for submitting a Transcript Request Form.
Mrs. Parker
Submit
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