Transcript Request Form for Current CHS Students Only

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Please complete and sign this form to request a transcript. Students do not need to complete this request for the University of Illinois- Urbana-Champaign or for schools that will be listed on their Common or Coalition Applications. If you require a fee waiver you MUST see your counselor in order for it to be processed. Please let your counselor know if your school requires a secondary school report.

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Sähköposti *

Last Name *

First Name *

Grade Level *

Student ID # *

Who is your counselor? *

Cihak (Last names A-Di)

Kurtz (Last names Do-H)

Biebel (Last names I-N)

Olsen (Last names O-R)

Corey (Last names S-Z)

Lugge (IEP Coordinator)

What is the purpose of this transcript request? *

College, Trade School, etc

Military

Scholarship

Upward Bound

DMV (Department of Motor Vehicles-DMV WILL NOT ACCEPT AN EMAIL)

Social Security Card (SOCIAL SECURITY OFFICE WILL NOT ACCEPT AN EMAIL)

Email (unofficial)

Muu:

Where would you like your transcript sent? (SIUE, Ranken, Upward Bound, Military, mail or email) *

Please provide the city and state of the college or trade school. If you're having it mailed or emailed, please add your mailing address or email address.

Are you eligible for a fee waiver? (Respond YES only if you are eligible for free/reduced lunch.) Any student wanting to receive a fee waiver MUST make an appointment to see their counselor in order for that fee waiver to be processed. Please respond NO if you are not eligible. *

Yes

Please sign here by typing your first and last name. *

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Tämä lomake luotiin verkkotunnuksessa Collinsville Unit 10 School District. Ilmoita väärinkäytöstä

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