USD 258 Humboldt

Transcript Request

First Name

Middle Initial

Last

Maiden Name

Suffix

Date of Birth

Phone Number

OFFICIAL / UNOFFICIAL

Official Transcript – Examples of institutions that may request or require official transcripts to be sent include the following: Colleges, Universities, Trade School, Workplace, Administrative Offices, etc. Unofficial Transcript – If requesting an official transcript this would be for your personal records and/or information.

Type Requested

Reaquired field: Official Transcript

Reaquired field: Unofficial Transcript

Option #1 - MAIL

This option will be stamped, double sealed and will be sent through the US Mail Service.

Institution Name

Institution Address

City

State

Zip Code

Option #2 - EMAIL

You must include the phone number in order for us to contact them should the email not go through.

Registrar Email

Registrar Phone Number

Option #3 - FAX

You must include the name, fax and phone number in order for us to contact them in case it does not send correctly.

Institution Name

Fax Number

Phone Number

Special Instructions

By submitting this form, I am providing my digital signature agreeing that the information given on this form is true, complete and accurate.

Reaquired field: Yes

Requests will be sent to sarabeth.larue@usd258.net

Email a copy to

optional

Required Fields