Transcript Request Form Grade

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TRANSCRIPT REQUEST FORM
Application Deadline Date:_____________
I am applying for:
for CURRENT ETHS STUDENTS:
Rolling Admission: ____
Priority Deadline: ____
CLASS OF 2016
Early Action (Non-Binding): ____
Early Decision (Binding): ____
Regular Decision: ____
See back of form for definitions.
PLEASE READ AND FOLLOW THE PROCEDURES ON THE BACK OF THIS FORM. COMPLETE ALL ITEMS BELOW AND PRINT CLEARLY.
1.
Student Name:_______________________________________________________
Class of 20_____
I.D. #__________________ Counselor:_________________________________
______
I already have submitted my application or I am finishing my application and will
[Student, please initial.]
submit it by the college’s application deadline.
2.
I am submitting my application online using:
[or
Paper Application required]
the College/University Website
the Common Application and
I have completed the Common App Account Matching process
[See back of form.]
3.
Check box for what applies to this transcript request:
3
Transcript for college - First
transcripts are free; after 3rd request, $5.00 for each additional transcript requested
will be billed to student’s account. For balance inquiries, please contact Student Accounts at 847-424-7110.
Transcript for scholarship application or NCAA Eligibility Center (No fee)
School requires student to self-report transcript information; no official transcript required. (No fee)
See list of specific schools that require Self-Reported Academic Records on back of this form.
*ETHS School Profile and the appropriate School Report form are automatically submitted with transcript.
*Test Scores: ETHS does not send ACT or SAT test scores. Please go to
or
(SAT) to have official scores sent to colleges.
4.
I am requesting the following be sent with this transcript request:
Application requires a Counselor Recommendation Letter (mandatory conference with counselor)
Application Fee Waiver
(For Common App schools, student must complete fee waiver request via Common App account.)
Early Decision Agreement
(For Common App schools, student/parent must complete their part of the agreement using the
student’s Common App account at )
AVID Program Letter of Explanation
Senior Studies Letter of Explanation
Transfer Transcript
Other _________________________
(Student must provide one official copy to counselor.)
Send to: Name, City & State (Provide Address & Zip Code if materials are to be mailed.)
No abbreviations, please.
Name of Institution or
Scholarship Organization:
Address:
City:
State:
Zip Code:
5.
I have read the reverse side of this form, and I authorize the release of the transcript, a letter of
recommendation if required, and all other accompanying documents.
*** PLEASE ALLOW UP TO 3 WEEKS FOR PROCESSING OF APPLICATION DOCUMENTS AND TRANSCRIPT ***
STUDENT SIGNATURE: _____________________________________________________ DATE: ___________
PARENT/GUARDIAN SIGNATURE: ____________________________________________ DATE: ___________
(Parent signature is required if student is under 18 years of age. If student is 18, write date of birth on line provided.)
----------------------------------------------------------------------------------------------------------------------------------------------------------
OFFICE USE ONLY: (Please Date and Initial)
Date logged and sent: ______________

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