High School Transcript Request And Evaluation Sheet
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1High School Transcript Request and Evaluation Sheet
I. Student
1. Complete all of Part I. 2. Sign your name below. 3. Submit this form to your high school guidance office authorizing the release of your academic record and test
scores for grades 9 through 12.
_________________________________________________________________________________________________________________
Name Last/First/M.I.
(Former Name)
_________________________________________________________________________________________________________________
Year Graduated/Expect to Graduate
_________________________________________________________________________________________________________________
Street Address
City
State
ZIP
II. School Counselor
1. Complete all of Part II. 2. Sign your name below. 3. Attach transcript. 4. Mail both to: Office of Admissions, Delaware State University,
1200 North DuPont Highway, Dover, DE 19901-2277
_________________________________________________________________________________________________________________
High School Name
H.S. CEEB Code No.
Date of Graduation M/Y
Please list below all other high schools attended.
_________________________________________________________________________________________________________________
Name/Location
From
To
_________________________________________________________________________________________________________________
Name/Location
From
To
Applicant’s scholastic index of grade-point average is:
Class rank
In a class of
As of this date M/Y
SAT Critical Reading
SAT Math
SAT Written
Test Date M/Y
Index
Grade-point
Let. Avg.
State below the grade range applicable to each mark given by your school.
Mark
A
B
D
C
F
Range
Program:
Please check the appropriate course of study for this applicant.
Ì Academic College Prep Ì Vocational/Technical Ì Arts Ì Business Ì General Ì Special Education/Remedial
Ì Other (specify)______________________________________________________________________________________________
Ì
Check if you wish to be contacted by the University
In your opinion, is the applicant:
Yes
No
Not observed
Ì
Ì
Ì
Sufficiently mature to enter college?
Ì
Ì
Ì
Motivated for college?
Ì
Ì
Ì
Of sound moral character?
Has the applicant ever been disciplined in school or the community for serious misconduct? Ì Yes Ì No
Do you recommend this student for admission into DSU? Ì Yes
Ì No
Comments:_________________________________________________________________________________________________________
_____________________________________________________________________________________________________
____________
____________
_____________________________________________________________________________________________________
Signature
The information requested on this sheet is to be used in the evaluation of the Application for Undergraduate Admission submitted by:
____________________________________________________________________________________________________________
Signature of Student
Date
____________________________________________________________________________________________________________
Signature of Principal/School Counselor Officer
Position
Date
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