Transcript Request

Printable Transcript Request Form


“HOME OF THE PATRIOTS”

TRANSCRIPT REQUEST                                                                        MIKE SAUCEDO
INDEPENDENCE HIGH SCHOOL                                           Miguel.sauceda@guhsdaz.org                      
6602 N. 75TH AVE                                                                  CREDENTIALS ASSISTANT
GLENDALE, ARIZONA 85301                                                                PH:(623)435-6104
                                                                                                    FAX: (623)435-6137

Turnaround time is 48 hours upon receipt of fax or mail. There is no charge.

How to return form: MAIL, FAX, OR BRING INTO COUNSELING OFFICE.

PLEASE MAKE SURE TO HAVE A COPY OF YOUR I.D. ATTACHED WITH FORM.
REQUIRED: All information must be completely filled in and legible. You must
ENLARGE and LIGHTEN UP a photocopy of your current driver’s license or picture
ID and fax it with this request.

BIRTH DATE: Month ______ Day______ Year ______ YEAR ATTENDED OR GRADUATED: ___________________
FIRST NAME __________________________________ MIDDLE NAME ____________________________________
LAST NAME ___________________________________
LAST NAME WHILE ATTENDING SCHOOL ___________________________________
DAY NUMBER INCLUDING AREA CODE______________________________Circle HOME CELL WORK
1) IF YOU WANT THIS MAILED TO YOUR HOME: YOU MUST PROVIDE YOUR COMPLETE
MAILING ADDRESS
2) IF MAILED TO A SCHOOL/EMPLOYER: YOU MUST PROVIDE THE SCHOOL/EMPLOYER
NAME AND COMPLETE MAILING ADDRESS.
Transcripts are sent to Undergraduate Admissions unless you indicate a specific department.
(Ex: Nursing Program, Honors Program, Financial Aid)
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OFFICIAL sent only mainly for employers, graduation verification, schools, and scholarships – school embossed stamped seal
mailed in a sealed envelope.
UNOFFICIAL has an unofficial stamp. Usually requested as copy for self, insurance etc. Send unofficial______
Test scores if available are included unless you indicate otherwise, No do not include_______
Immunizations if available are included unless you indicate otherwise, No do not include_______
Written Signature _________________________________________________________