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Osage County R-1
614 South Poplar Chamois MO 65024
573-763-5666 phone
573-763-5686 fax
birminghamm@osager1.com
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High School Transcript Request Form
I am requesting an official copy of my high school transcript including cumulative GPA, class rank, and standardized test scores.
First Name
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Last Name
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Name while Enrolled
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Year of graduation or last date attended
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Address
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City
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State
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Zip Code
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Date of Birth
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Phone number
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Email
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Address of where you would like the transcript to be sent
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By checking the accepted box I authorize the Osage County R-1 School District to furnish an official copy of my high school transcripts or other information requested.
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Signature : Please type your name and the date
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