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Transcript Request

Required fields marked with an asterisk *

This form is for alumni only.

Current students should fill out the form in the Guidance Office and return it to Mrs. Fenske.

Contact Mrs. Fenske ([email protected]) with questions or concerns.

First Name*

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Last Name*

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Last Name at LLHS, if different

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Graduation Year*

Answer Required

Street Address*

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City*

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Zip/Postal*

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Email*

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Phone*

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How many transcripts needed? ($5/transcript. If you need more than four, please fill out an additional form.)

Answer Required

$5.00 - 1 transcript

$10.00 - 2 transcripts

Recipient of Transcript #1—School name*

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School address, city, state, and zip code (or email, if you're requesting an electronic transcript)*

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Recipient of Transcript #2—School name

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School address, city, state, and zip code (or email, if you're requesting an electronic transcript)

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Special instructions/requests?

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Confirmation Email

Confirmation Email *

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