STUDENT NAME _____

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					                                                      Transcript Request Form
 A $2.00 processing fee must be submitted with the request form. Student must attach any forms that are to be
 sent with the transcript such as a counselor form (which may be a part of the college application) prior to handing
 in request form. A transcript request form must be completed for every transcript that is to be mailed by guidance.
  If you are picking up your transcript and would like more than one, please write how many you need in the box.


 Student’s Name: ___________________________                          Date Submitted: ____________

 Circle one:                  student will pick up         or             transcript to be mailed

 If transcript is to be mailed, please list name and address of recipient.

 ________________________________________
                                                                                If you are requesting that we mail your transcript
                                                                                to a school, please be sure that you have sent your
 ________________________________________                                       application prior to requesting the transcript or
                                                                                shortly thereafter.
 ________________________________________

 All SAT and ACT scores on file at RSHS will be sent with the transcript unless you check the box below. By
 checking the box, none of your SAT or ACT scores will be enclosed in these requested transcripts, you will need to
 do that through collegeboard.
      Do NOT enclose any of my SAT or ACT scores with these transcripts.


 If transcript is being sent for the purpose of a college application, please check off below what you’ve already sent
 in with your application package:

                              Completed Application

                              Personal Essay/Letter to Director of Admissions

                              Letters of Recommendation from: _____________, ____________, __________

                              Form of payment: (circle one) Check, Money Order, Fee Waiver, Credit Card, MD Distinguished
                              Scholar Letter, On-line Application with Credit Card, No Fee

 __________                   Transcript from Cecil College – if you have taken courses with them before (request from CC)

 College applications with a due date of January 15th or earlier should be completed and transcripts requested from
 the guidance office by December 2nd. Doing so puts you in the best position for consideration by your chosen
 colleges. Late applications often result in failure to be accepted.
FOR OFFICE USE ONLY




                      ___ Transcript        ___ Counselor Letter          ___ Report Card M.P. ____
                      ___ Schedule          ___ Profile                   ___ Test Scores
                      ___ Counselor Form/Secondary School Report          ___ Other: ____________________________


                      Date returned to student or mailed by guidance: _______________             Counselor’s Initials: ____

				
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