Belmont High School
Transcript Request
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Email *
Name as it appears on school record:
Please supply the name as it would be listed on your transcript.  Include maiden name if applicable.
Last Name, First Name, Middle Name *
Graduation Date (or last date of attendance) *
Date
Current mailing address *
Last 4 digits of your Social Security Number *
Birthdate *
Date
Current Phone Number *
I wish to pick up an UNOFFICIAL copy of my transcript. *
Required
Please send an OFFICIAL copy of my high school transcript to:
College/University Name
Address of college/university
Today's date *
Date
Electronic Signature
By providing my electronic signature below, I authorize my transcript request to be processed.
Current legal name (First middle last name) *
A copy of your responses will be emailed to the address you provided.
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