Alumni Transcript Request Form - Worcester Public Schools
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1WORCESTER PUBLIC SCHOOLS ALUMNI TRANSCRIPT REQUEST FORM
Transcripts are issued only upon written request by the alumni.
An “official” transcript is mailed directly to the institution, agency or employer designated by the alumni and
bears the impression of the respective high school seal.
An “unofficial” transcript can be sent directly to the alumni/student upon written request. An unofficial
transcript does not have the respective school seal.
The fee for each transcript request processed is $3.00 and payable by cash or money order. Personal checks
are not accepted.
Today’s Date: _______/________/________
Date of Birth: _______/________/_________
Name: ____________________________________________________________________________________
First
Middle
Last
Maiden Name: __________________________
Year of Graduation: _________________________
OR
Telephone Number: ______________________
Dates of Attendance :________________________
Email: ____________________________________________________@_______________________________
I would like a copy of my High School Transcript sent to the following address:
Name of School/Employer/Agency/etc.
Number
Street
City
State
Zip Code
Signature: _________________________________________________________________________________
Please Circle Which Transcript You Are Requesting:
Official Transcript
Unofficial Transcript
Please fill out the form and mail to the school last attended:
Burncoat High School
Claremont Academy
Doherty High School
North High School
Transcript Request
Transcript Request
Transcript Request
Transcript Request
179 Burncoat Street
15 Claremont Street
299 Highland Street
140 Harrington Way
Worcester, MA 01606
Worcester, MA 01610
Worcester, MA 01602
Worcester, MA 01604
Phone: 508-799-3300
Phone: 508-799-8157
Phone: 508-799-3277
Phone: 508-799-3370
Fax: 508-799-8206
Fax: 508-799-8202
Fax: 508-799-3276
Fax: 508-799-8252
South High
University Park School
Worcester Technical HS
Community School
Transcript Request
Transcript Request
Mail Transcript Request
Transcript Request
12 Freeland Street
1 Skyline Drive
to the proper school.
170 Apricot Street
Worcester, MA 01603
Worcester, MA 01605
Please be sure to sign
Worcester, MA 01603
Phone: 508-799-3591
Phone: 508-751-7577
and include the $3 fee.
Phone: 508-799-3331
Fax: 508-799-8159
Fax: 508-799-1933
Fax: 508-799-8242
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