Maple High School Transcript Request Form
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1TRANSCRIPT REQUEST FORM
For students who are currently attending Maple High School
Student Last Name: ___________________________ First Name: _______________________
Student Number: _____________________________
Reason for Request:
____________________________________________________________________________________
____________________________________________________________________________________
Number of copies request: __________
Date of request:
_______________
_______________
_______________
Day
Month
Year
Date for pick up: _______________
_______________
_______________
Day
Month
Year
Request granted: _______ YES _______ NO _______ Counsellor’s Initials
The first 2 transcripts that are printed are FREE of charge. Each
additional transcript after the first 2 will cost $1.00
FOR OFFICE USE ONLY
Date completed: _______________
_______________
_______________
Day
Month
Year
Student signature (upon pick up): _______________________________________
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