LHS Transcript Request Form

 

 

Student Information

Please enter student ones name.

The student's full name while attending LHS.

Please select the month the student was born in.

Select the month of the student's birth.

Please select the day the child was born in.

Select the day of the student's birth.

Please select the year the child was born in.

Select the year of the student's birth.

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Enter the year the student graduated.

 

 

Contact Information

Please enter contact name.

Name of whom is requesting information.

Please enter phone number in the correct format. ex. 123-456-7890

Phone number of whom is requesting information. ex. 123-456-7890

Please enter a valid e-mail.

Email of whom is requesting information.

 

 

Recipient Mailing Information

Please enter recipient name.

Name of whom to ship to.

Please enter recipient address.

Address of recipient.

Please enter a recipient city.

City of recipient.

Invalid Input

Select the state of the recipient.

Please enter a recipient us zip code.

Zip Code of recipient.

Please select one

When picking up transcripts please be prepared to show identification.

By signing the form below I approve sending the high school student's transcript to the recipient above through mail.

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