TRANSCRIPT REQUEST FORM



TRANSCRIPT REQUEST FORM

(For Students Currently Enrolled at ACHS)

Student Name ________________________ Today’s Date _____________

1st Period Teacher ___________________________

_____________

Send records to: ____________________________ Date Sent

(For Office Use Only)

Deadline ___________ (The date that the records must be received)

RECORDS NEEDED: (Check What is Needed)

Transcript & College Application ____________ ACT Scores _______________

Transcript Only (Application Online) _________ Recommendation ____________

Scholarship ___________________________ Other ____________________

Please attach any information that you want sent to this form.

Permission to Send Transcript

____________________________ _________________________

(Parent Signature if Student is under 18) (Student Signature is 18 years old)

(Do Not Write Below this Line)

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CONFIRMATION OF RECORDS SENT

Name __________________________ 1st Period Teacher _________________

Type of Request

Transcript _________ College _________________

College Application _______________ Date Mailed: ___________

Recommendation _________________ Test Score: (See Note Below) ______

Scholarship _____________________ Other _______________________

A copy of your ACT scores are on your transcript. If you did not have your ACT scores sent to this college when you registered for the ACT they may not accept the scores on the transcript(s) as official. If that is the case, you will need to contact ACT to have your scores sent to this college.

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