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Request for High School Transcript

Sierra-Plumas Joint Unified School District

PO Box 955, Loyalton CA 96118

530-993-1660

[email protected]

Request for High School Transcript

Please complete the form below. Required fields marked with an asterisk *

School Attended*

Answer required for "School Attended"

Year of Graduation*

Answer required for "Year of Graduation"

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

If different, Last Name at time of Graduation

Answer required for "If different, Last Name at time of Graduation"

Birthdate*

Answer required for "Birthdate"

Current Street Address/PO Box

Answer required for "Current Street Address/PO Box"

City, State, Zip

Answer required for "City, State, Zip"

Primary Phone

Answer required for "Primary Phone"

Email Address

Answer required for "Email Address"

Question

Answer required for "Question"

I request an official, sealed transcript be mailed to the Institution or Individual below:

Institution or Name

Answer required for "Institution or Name"

Street Address/PO Box

Answer required for "Street Address/PO Box"

City, State, Zip

Answer required for "City, State, Zip"

Question

Answer required for "Question"

I request an unsealed copy mailed to:

Institution or Name

Answer required for "Institution or Name"

Street Address/PO Box

Answer required for "Street Address/PO Box"

City, State, Zip

Answer required for "City, State, Zip"

Question

Answer required for "Question"

I request an official transcript EMAILED to:

Question

Answer required for "Question"

Question

Answer required for "Question"

I request an official transcript FAXED to:

Question

Number Required

Question

Answer required for "Question"

I will pick up my transcript request in person.

Signature*

Signature Required

Transcripts will not be issued to a third party without written authorization

Answer required for "Transcripts will not be issued to a third party without written authorization"

I authorize the person listed below to pick up transcripts in person on my behalf.

COPY OF VALID DRIVER'S LICENSE/PHOTO ID MUST ACCOMPANY REQUEST.

Driver's License/Photo ID*

Answer required for "Driver's License/Photo ID"

Choose a file or drag it here.

Additional Instructions/Questions

Answer required for "Additional Instructions/Questions"

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"