INDIAN VALLEY HIGH SCHOOL

TRANSCRIPT REQUEST

Processing Fee $2.00

Name______________________________________ Maiden Name_________________

I graduated/will graduate from ____________________    Year____________________

Transcript to be sent to:_____________________________________________________

Address:                        ____________________________________________________

                                      _____________________________________________________

 Deadline:   _______________  (date it needs to be at the college)

 Please send the following with my transcript:

□       Application, completed and signed by student

□       Application Fee

□       Essays

□       Counselor Form included 

□       Counselor written recommendation needed

□       Send Teacher recommendations with transcript from: _________________________

□      Teacher recommendations being sent separately

Check Appropriate Boxes:

 □       Application sent on-line

□       Early Action or Early Decision

□       Mid-Year Grade Report

□       Processing Fee Paid $_________

 *Please allow at least 5 school days for processing   

 Student Signature _______________________________

 Guidance Use Only