Transcript Request

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Alumni Transcript Request

Electronically request your transcript from Kirkwood High School. Please fill out the following information. If you have graduated more than 10 years ago, please fill out the other Transcript Request Form.

1.	I understand and agree to conduct this business electronically with Kirkwood School District and that through the typing of my name and by selecting "Done" at the end of this page constitutes my electronic signature and formalizes the transcripts request between me and Kirkwood School District. I further understand that my electronic signature is legally binding under Federal Law. When this document is submitted a time stamp specifying the date and time of this Electronic Agreement will automatically be attached to the submitted document.*
	I understand and agree to conduct this business electronically with Kirkwood School District and that through the typing of my name and by selecting "Done" at the end of this page constitutes my electronic signature and formalizes the transcripts request between me and Kirkwood School District. I further understand that my electronic signature is legally binding under Federal Law. When this document is submitted a time stamp specifying the date and time of this Electronic Agreement will automatically be attached to the submitted document.* YesNo

2.	Full Name (First Middle Initial Last) *

3.	Maiden Name

4.	Date of Birth*
	mm/dd/yyyy

5.	Year of Graduation* (or last year attended KHS)

6.	Phone Number* Please provide the best number to contact you during the day.

7.	Email Address*

All transcripts MUST be sent to the organization requesting them. Transcripts can not be sent to home addresses. Please provide the information for where to send transcripts below.*

Company / Institution
Attention:
Address:
City:
State:
ZIp:

Additional Institution

Company / Institution
Attention:
Address:
City:
State:
ZIp:

Additional Institution

Company / Institution
Attention:
Address:
City:
State:
ZIp:

Additional Institution

Company / Institution
Attention:
Address:
City:
State:
ZIp:

	If you need test scores, you will need to contact the test institutions (College Board, ACT, etc.) directly for official scores.

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