Transcript Request Form

Required

TRANSCRIPT REQUEST FORM

Students who have been out of school over three years need to enclose a $3.00 fee with this request. Transcripts will not be released until the fee is paid. Payments can be made in-person or *mailed to:

Van Wert High School

ATTN: Student Services

10708 State Route 118 South

Van Wert, Ohio 45891

*If mailed, please be sure the name of the requester is clearly indicated.

Namerequired

First Name

Last Name

Date of Birth (00/00/0000)required

Maiden Name (If Applicable)

Current Address:required

City:required

State:required

Zip Code:required

Phone Numberrequired

Email Addressrequired

Years of Attendancerequired

Year of Graduationrequired

Last Year Attendedrequired

What Type of Transcript Are You Requestingrequired

Official Transcript Number of Copies Requestedrequired

Unofficial Transcript Number of Copies Requestedrequired

Would You Like Your Transcript(s) Picked Up or Mailedrequired

Where Would You Like Us to Mail the Transcript(s)? (Enter Mailing Address if Applicable)required

If Requesting Multiple Transcripts, Please Explain How You Would Like Them to be Distributedrequired

Emails may be directed to Ava Burkheimer, High School Counselor at a_burkheimer@vwcs.net

Students who have been out of school over three years need to enclose a $3.00 fee with this request.required

I agree to the Terms of Service

By checking the box below, you are signing and dating that all information above is accurate and true as stated in the Terms of Service above.required

I agree to the Terms of Service

Last 4 SSN:required