Request For Transcript - The Bronx High School Of Science

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REQUEST FOR TRANSCRIPT
Mail to: RECORDS SECRETARY- Transcript Office
THE BRONX HIGH SCHOOL OF SCIENCE
th
75 West 205
Street
Bronx, NY 10468
1.
Each transcript request costs five dollars ($5.00) payable in money order ONLY, made out to
The Bronx High School of Science.
2. Complete the form below for each transcript you wish sent. Please indicate your
Name, date that you left Bronx Science (month & year), your school ID/OSIS number (9 digit
#) and date of birth (to ensure we send the correct transcript), and your current telephone
number.
3. Please send a stamped, addressed envelope prepared for mailing to the recipient.
4. Walk-in requests cannot be honored. We will attempt to mail all “rush” requests
within one week. We cannot process any requests without payment.
Thank you for your understanding and cooperation
Your Name ________________________ _ ____________________
Last
(Print)
First
Date of Attendance at Science ___________
Date of Graduation____________
OSIS Number _______________
DOB: _____________
Telephone Number ____________________
Date ______________
Signature _______________________________
Send transcript to: (Print) _________________________________
Other Requests (Specify)
_________________________________
_________________________________
_________________________________
Please note: Official transcripts cannot be sent to student

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