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Centralia High School Transcript Request
Transcript Request
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* Indicates required question
Email
*
Your email
Name:
*
Your answer
Legal Name when enrolled at CHS:
*
Your answer
What is your current address:
*
Your answer
Phone number:
*
(555) 555 - 5555
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Graduation Date/Year (or dates of attendance)
*
Your answer
Please send a copy of my high school transcript to:
*
Must include the school or business name and address.
Your answer
Please send a copy of my high school transcript to:
Must include the school or business name and address.
Your answer
Please fax a copy of my high school transcript to:
Include Attention to and fax number.
Your answer
Have you applied to the college/technical school that you are sending your transcript to?
*
Yes
Not Yet
Not Applicable/Requesting for other reason
I understand that it may take 3-5 business days to process my request.
*
Yes
Required
Typing your name below gives Centralia High School permission to forward your transcript information to the above location(s).
*
Your answer
Send me a copy of my responses.
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