819 Colorado Dr.
Xenia, Ohio 45385
Phone: 937-376-2961
Fax: 937-372-4701
Denny Morrison
Christy Fielding
Tracy Jarvis
Superintendent
Assistant Superintendent of Business Operations
Treasurer
Procedures for Obtaining School Transcripts/Records
A Request must be in writing and signed by the individual so that we have the proper release of records information
on file.
1. A Request by letter must contain the following:
A. Date of Birth
B. Year of Graduation or Withdrawal
C. Maiden Name/Name Used in School
D. Phone Number and/or Mailing Address of Individual
E. Signature of Individual
F. $4.00 Cash or Money Order (NO PERSONAL CHECKS)
2. A Request Made in Person:
A. Individual must complete Records Request Form.
B. The $4.00 fee is due before request is filled.
Transcript/Records request WILL NOT be filled before payment is received.
During the school year, transcripts will be available within 48 hours.
Summer requests will be filled according to availability of personnel.
__________________________________________________________________________________________________
Received by___________________
School Transcripts/Records Request
Date of Request_______________
Paid:_________________________
Name_____________________________________________________________________________________
Last
Maiden
First
Middle
Year of Graduation__________ Withdrawal Date_________ DOB_________ Phone_____________________
____ Hold Transcript at Board Office
____ Mail Transcript to:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
____ Fax Transcript ($2.00 additional charge) To___________________________________________
Fax#_________________________________________
I give Xenia Community Schools permission to release my school transcripts/records to myself or the above name,
address, or fax number.
Signature__________________________________________________