Appleton East High School Transcript Request Form

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Appleton East High School Transcript Request Form
Please complete this brief transcript request form and provide the guidance office a stamped envelope with your name
in the upper left corner and the name and address of the college you are submitting your transcript to. Please note that
after receiving both this completed form and envelope processing time may take up to 5 business days. Students that
graduated more than 5 years ago may request a transcript ($3.00 fee per transcript) from the Attendance and
Transportation Department at 920 832‐6116 or write to: Facilities and Operations Building, Attention: Attendance and
Transportation, 531 N. Morrison St., P.O. Box 2019, Appleton, WI 54911
First Name: ___________________________ Last Name: ________________________________
Student ID: ___________________
Grade:
9
10
11
12
(please circle)
Email: _______________________________
Reason Requesting Transcript
College # 1: _____________________________________
College # 2: _____________________________________
College/University:
College # 3: _____________________________________
Employment
Scholarship:
Other
Total needed: _____
Include ACT on Transcript
Please indicate if you would like your ACT test score included on your transcript.
Yes
No
if yes, which ACT test date: ___________
ACT Score: ________
Permission to Release Transcript
I give permission for Appleton East High School to release my transcript to colleges or universities for the
purpose of admission or consider for academic or athletic scholarships. I also grant permission to release my
transcript for other possible scholarship opportunities.
Students Signature: ____________________________________
Student Printed Name: ____________________________________
Parent/Guardian Signature (if student is under 18): ____________________________________________
Office Use Only
Date Received: __________
Date Mailed: ____________
Date Returned to Student: _________
Appleton East High School | 920-832-6201 | 2121 East Emmers Dr. Appleton WI 54915 | Counseling Website:
https://goo.gl/UJ5qhQ

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