TRANSCRIPT REQUEST FORM

 

NAME: ___________________________________________________________

 

NAME USED IN SCHOOL (if different): ______________________________

 

DATE OF BIRTH: ____________________

 

DID YOU GRADUATE? __________ IF YES, WHAT YEAR? ___________

 

TRANSCRIPT TO BE SENT TO: ____________________________________

 

(Name of University/Institution)

UNIVERSITY/INSTITUTION ADDRESS:

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

 

Is there a deadline? YES / NO If so, give date: ____________________

 

A fee of $5.00 must be paid before transcripts will be released/mailed.

All checks should be made payable to Walker Valley High School.

Please mail transcript request along with $5.00 fee to:

 

Walker Valley High School

750 Lauderdale Memorial Highway

Cleveland, TN 37312