Urbandale High School Request for Official Transcript
Please allow 7 business days for this request to be processed.
This form can be used for multiple schools/scholarships etc.
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Student Full Name
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Other Names Previously Used *
Date of Birth *
MM
/
DD
/
YYYY
Current Address *
Phone Number *
Years of Attendance at Urbandale High School
Year of Graduation *
Include Test Scores *
Address and/or email address of where the transcript is to be sent or if transcript will be picked up in the Counseling Office. DO NOT just list the name of the school.
*You may list multiple schools/ scholarships etc.

PLEASE NOTE:  Official transcripts of DMACC credit must be requested directly from Des Moines Area Community College.
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In accordance with federal law, records cannot be released without the written consent of the student or parent of minor student or have a legal release of confidential information. 

BY CLICKING THIS BOX, I ACKNOWLEDGE THAT ALL INFORMATION PROVIDED ABOVE IS TRUE AND I AM AUTHORIZED TO RECEIVE THIS INFORMATION.

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Please enter your full name below. This acts as an electronic signature for the acknowledgment above. *
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