Transcript Request Form Lake Nona High School
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1
2TRANSCRIPT REQUEST FORM
Lake Nona High School
12500 Narcoossee Road
Transcripts will take
Orlando, FL 32832
3-5 school days to
(407) 956-8300 ext. 2803
process.
________________
Today’s Date
__________________________________________________________ Grad. Year ______
Student Name
Last
First
MI
_________________________________________________________________________________
Address
Street
City
State
Zip Code
# ________________________
_____________________
_____________
Student ID
Social Security #
DOB
There is a $5.00 processing fee for each transcript ordered (cash or money order only accepted). The fee includes 1
official transcript placed in a sealed envelope. One unofficial copy will be provided for student to review and verify
accuracy of content. There is no additional charge for transcripts to also be sent electronically when available.
Please complete this form and return it to the Lake Nona High School Records office in the Guidance Department.
AUTHORIZATION STATEMENT AND SIGNATURE
I authorize Lake Nona High School (Orange County Public Schools) to release the information specified above to the organization or individual named. I
understand and have been informed that I have the right to review all records on my child and a right to a copy of the records to be forwarded to the
receiving party prior to the release. I have been informed that I have a right to a hearing to contest any information contained in my child’s record prior to
release.
_______________________________________________________
__________________________________
Signature of Parent or Eligible Student
Date
Certified Official Transcripts will be
placed in a sealed envelope ready for
Institution/Organization/Individual Name:
mailing. Student must mail received
transcript.
_______________________________________________________
Electronic transcript will be sent after
hard copy has been picked up and
Address:_______________________________________________
signed for by student.
Student Copies are unofficial
City:______________________State_______Zip______________
transcripts for reviewing purposes
only. These transcripts will not be
sealed or certified.
Certified Official Transcripts will be
placed in a sealed envelope ready for
Institution/Organization/Individual Name:
mailing. Student must mail received
transcript.
_______________________________________________________
Electronic transcript will be sent after
hard copy has been picked up and
Address:_______________________________________________
signed for by student.
Student Copies are unofficial
City:______________________State_______Zip______________
transcripts for reviewing purposes
only. These transcripts will not be
sealed or certified.
LIST ADDITIONAL ORDERS ON BACK OF PAGE
FOR LNHS PERSONNEL USE ONLY
ORDER
PAYMENT
PICKUP/MAILED
No. of Official Transcripts
_______
Total Amt. of Payment Due ($5.00 per transcript)
Date Transcript Mailed
No. of Unofficial Transcripts
_______
________________
_____________________
TOTAL
_______
Payment Type: __Cash __Money Order
Pick up verification Signature:
Receipt #__________________________________
_________________________________________
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