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Transcript Request Form

Grover Cleveland High School provides a request form for students to obtain records such as transcripts and graduation documents. The form requests the student's name, contact information, dates of attendance, and birthdate. It lists the available documents including official and unofficial transcripts, graduation certification, immunization records, and transfer papers. The form explains that money orders or cash are accepted and provides the address to mail or submit the completed form along with payment.

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564 views2 pages

Transcript Request Form

Grover Cleveland High School provides a request form for students to obtain records such as transcripts and graduation documents. The form requests the student's name, contact information, dates of attendance, and birthdate. It lists the available documents including official and unofficial transcripts, graduation certification, immunization records, and transfer papers. The form explains that money orders or cash are accepted and provides the address to mail or submit the completed form along with payment.

Uploaded by

Anonymous bbKAvcV
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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GROVER CLEVELAND HIGH SCHOOL

Rev. 2018
2127 Himrod Street
Ridgewood, NY 11384
Request for Records
Date:___/___/___
Last Name First Name
Name You Attended Under If Different From Above: Phone #:
Address: City __________ State ___ Zip Code
Date of Birth:
Dates of Attendance: or Currently on Register
Date of Graduation or Date of Discharge

Please check requested documents: School will accept money orders or cash ONLY no checks

Official Transcript - Sent directly to the college/school - $ 5.00

Unofficial Transcript - Sent directly to the student – No Charge

Official Graduate Letter Certifying Graduation (in lieu of copy of diploma) - $ 5.00

Discharge Papers B discharge letter, transcript & immunization - No Charge

Immunization History (If attended this school after September 1980) - No Charge

Transfer Papers to attend another New York City high school - No Charge

Transfer Papers to attend a school outside of NYC or a non-public H.S. - No Charge


**********************************************************************
If mailing this request form, enclose the correct payment and mail to
Grover Cleveland High School
Attention: Records Office
2127 Himrod Street
Ridgewood, NY 11385

If doing this transaction in person, attach monies to your request.

Please send the above-checked request(s) to:


FOR OFFICIAL TRANSCRIPT REQUESTS ONLY:
Name of College/School:
Attention:
Address: City State Zip Code
UNOFFICIAL TRANSCRIPTS CAN BE SENT TO THE STUDENT
ALL OTHER REQUESTS, PLEASE MAIL TO:
Name:
Address: City State Zip Code

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