Transcript Request

Transcript Request

TRANSCRIPT REQUEST FORM

This form is for FORMER students requesting a copy of their transcript. Current students and outside sources may contact the school counseling office at 610-374-0739 x2126.

STUDENT INFORMATION

Student Name:
Name at Time of Graduation 
(If Different from Above): 
Year of Graduation:
Date of Birth:
Current Email Address:
Current Phone Number:

 

Please send this transcript to:

RECIPIENT INFORMATION

Recipient Name:  
Recipient Email:
Name of Institution:
Institution Office:
Institution Street Address:
Institution City:
Institution State:
Institution Zip:

By checking this box, I provide permission to release my transcript, which includes grades, GPA, class rank, graduation information, and test scores, to the recipient listed above.



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