TRANSCRIPT REQUEST FORM

(Required for ALL College Applications)

Requests must be given to your counselor a minimum of 10 SCHOOL DAYS prior to the application deadline and
preferably sooner!
Please PRINT your name: __________________________________________________________________________

___________________________

__________________

College Counselor

Date given to Counselor

>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
1. Name of College: _______________________________________________________________________________
City & State: _____________________________

Application Due Date: ___________________________

I have self reported my grades and no official transcript is required. Application was submitted on: ____________
Did you use the: COMMON APPLICATION or the SCHOOL SPECIFIC application? (circle one)
Admission Type: Rolling Admission Priority Deadline Early Decision
Does this college REQUIRE a letter of recommendation from a teacher?

Early Action Regular Decision

NO

YES - 1

YES 2

If YES, be sure to print and complete the Teacher Recommendation Request Form and deliver it to your college counselor.

COUNSELOR USE ONLY:

Electronic

OR

Mail

SSR

Letter

>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
2. Name of College: _______________________________________________________________________________
City & State: _____________________________

Application Due Date: ___________________________

I have self reported my grades and no official transcript is required. Application was submitted on: ____________
Did you use the: COMMON APPLICATION or the SCHOOL SPECIFIC application? (circle one)
Admission Type: Rolling Admission Priority Deadline Early Decision
Does this college REQUIRE a letter of recommendation from a teacher?

Early Action Regular Decision

NO

YES - 1

YES 2

If YES, be sure to print and complete the Teacher Recommendation Request Form and deliver it to your college counselor.

COUNSELOR USE ONLY:

Electronic

OR

Mail

SSR

Letter

>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

*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.