CCHS Transcript Request Form
If you are a third-party consumer reporting agency that performs background checks please fax or email a signed release form to 540-955-6139 or email  shimpb@clarke.k12.va.us
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Year of Graduation or Last Year of Attendance *
If Prior to 2003 please contact the School Board Office at 540-955-6100
Name while attending school *
Please enter your full name
Date of Birth *
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YYYY
Phone Number *
Please enter number in ###-###-#### format
Email Address *
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