Union-Endicott CSD Records Request

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Please allow 3-5 business days to process. Please call Jessie at 607-757-2312 with any questions.

电子邮件地址 *

Date of Request *

年

月

日

Student name (include MAIDEN name if applicable) *

Date of Birth *

年

月

日

Phone number *

Did the student graduate? *

Yes

If so, what year?

Last Union-Endicott school the student attended *

Ann G. McGuinness

Charles F. Johnson

George F. Johnson

Jennie F. Snapp

Linnaeus W. West

Thomas J. Watson

Union-Endicott High School

其他:

Are you the student name above? *

Yes

If you are not the student, what is your name and relationship to the student?

What record is being requested? *

Delivery Method *

Pick up(2 free copies; you will recieve a call when the records are ready)

Fax

Scan and email

Delivery specifics: Please provide the business or government agency/college name that the record should addressed with.

Delivery specifics Please provide the fax number; or email address; or street address of the business or government agency/college.

Note: For duplicate GED certificate/and transcripts contact the N.Y. State HSE Office at 518-474-5906 or Email: http://www.acess.nysed.gov/ged/duplicate_diploma.html

By submitting this form, you agree the above information is accurate to the best of your knowledge and that you have the legal right to request these records.

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