Transcript Request Form
Please make sure you fill this form out completely before submitting. 
Email *
Full Name (First, Middle, Last) *
Maiden Name or Previous Name (if applicable)
Email or Phone Number (for contact purposes) *
Date of Birth *
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YYYY
Date of Graduation *
MM
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DD
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YYYY
Delivery Method
How would you like your transcript sent? *
Full address or Email where you would like your transcript sent.  *
Your Full Name
This will serve as your electronic signature authorizing HCHS to release your transcript to the above school/organization.
*
A copy of your responses will be emailed to .
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