High School Transcript Request Form

Official Request for copy of High School Transcript

1. Full Name *This question is required.

First and Last Name

2. Last name while in High School (if different than current name):

3. Date of Birth (01/01/1111) *This question is required.

4. Graduation Year *This question is required.

5. If you graduated prior to 2001, did you graduate from Cattaraugus or Little Valley

6. List the Colleges and/or Universities you would like your transcript sent to.

Space Cell	Name of College, University or Workplace	Email address of College, University or Workplace
Destination for transcript to be sent	Destination for transcript to be sent: Name of College, University or Workplace	Destination for transcript to be sent: Email address of College, University or Workplace
Destination for transcript to be sent	Destination for transcript to be sent: Name of College, University or Workplace	Destination for transcript to be sent: Email address of College, University or Workplace
Destination for transcript to be sent	Destination for transcript to be sent: Name of College, University or Workplace	Destination for transcript to be sent: Email address of College, University or Workplace
Destination for transcript to be sent	Destination for transcript to be sent: Name of College, University or Workplace	Destination for transcript to be sent: Email address of College, University or Workplace
Destination for transcript to be sent	Destination for transcript to be sent: Name of College, University or Workplace	Destination for transcript to be sent: Email address of College, University or Workplace

7. Would you like an unofficial transcript also emailed to you? *This question is required.

8. Current Email Address *This question is required. This question requires a valid email address.