High School Transcript Request Form

  1. Please print out this form, complete it and mail it to your High School Guidance Office.
    OR
  2. Provide the information shown below to your High School Guidance Office. Ask them to mail your transcript to: Schenectady County Community College
    Office of Admissions
    78 Washington Avenue
    Schenectady, New York 12305

 

TO:

 

HIGH SCHOOL GUIDANCE OFFICE

HIGH SCHOOL NAME

 


SCHOOL ADDRESS

 


CITY, STATE, ZIP

 


Please send an Official Transcript to:

Schenectady County Community College
Office of Admissions
78 Washington Avenue
Schenectady, New York 12305


REQUESTED BY:

NAME:

 


FORMER NAME:

 


DATE OF BIRTH:

 


ADDRESS:

 


CITY, STATE, ZIP:

 


DATES ATTENDED:

OR


DATE GRADUATED:

 


SOCIAL SECURITY NUMBER:

 


PHONE NUMBER:

 


STUDENT SIGNATURE:

 


DATE:

 


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