D29 Electronic Submission - Midyear Request Form

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MIDYEAR TRANSCRIPT REQUEST FORM

Colleges want these grades ASAP! So please submit all requests no later than Friday, January 27th!

Please PRINT your name: ________________________________________________________________

____________________

________________________________________________

Date given to Counselor

College Counselors Name

>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
The following colleges require and/or have requested that I send 7th semester / midyear grades:
(Please note that NO additional college specific forms are necessary and U of Illinois does not want 7th
semester grades from ANYONE)

1. ____________________________________________________________________________
COUNSELOR USE ONLY:

Electronic OR

Mail

2. ____________________________________________________________________________
COUNSELOR USE ONLY:

Electronic OR

Mail

3. ____________________________________________________________________________
COUNSELOR USE ONLY:

Electronic OR

Mail

4. ____________________________________________________________________________
COUNSELOR USE ONLY:

Electronic OR

Mail

5. ____________________________________________________________________________
COUNSELOR USE ONLY:

Electronic OR

Mail

*STUDENT SIGNATURE: ______________________________________________


*NOTE: By signing your name, you give permission to send your official transcript to the colleges and/or
scholarship agencies listed above.
REMEMBER!!! Transcripts do NOT include SAT/ACT test scores. YOU are responsible for sending your scores through
the testing agencies. Go to www.actstudent.org or www.collegeboard.com if you have not already had your scores sent
to these colleges.

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