Transcript Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Central DeWitt Community School maintains copies of grades, attendance, and test results for any student who attended Central DeWitt High School during grades 9-12. We will be happy to mail or fax a copy of your transcript to any college, place of business or your home address at no charge. If you have any questions please contact the high school main office (563)659-0715.

Please provide the following information:

Email *

Record my email address with my response

Last Name *

First Name *

Last name used in High School (if different than current last name)

Date of Birth *

YYYY

Graduation Year *

Street Address *

City, State, Zip Code *

Email Address *

Phone Number *

Where do you want your transcript sent? *

College or University

Home

Other:

What type of transcript are you requesting?

A document is considered official when received directly from the issuing institution digitally via secure delivery service or PDF, or in a sealed envelope via mail. A document that is received directly from the student applicant cannot be considered official.

Official

Unofficial

Clear selection

Please provide the name and address of College/University, Home or Other:
*

Consent *

By checking this box you are confirming that you are the aforementioned person.

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Central DeWitt Community School District. Report Abuse

Forms