Transcript Request WCHS

Please use this form to request a transcript

Name Name First Last
Student Address Student Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Parent Phone Number Parent Phone Number - ### - ### ####
Student Phone Number Student Phone Number - ### - ### ####
Parent Email
Student Email
Student Number
Student Date of Birth Student Date of Birth / MM / DD YYYY
Is the student currently attending Wesley Chapel High School

Is the student currently attending Wesley Chapel High School Yes Graduation Year Graduation Year
Purpose of Transcript Request (Please indicate all that apply):

Purpose of Transcript Request (Please indicate all that apply): College Military Employment Grants/Scholarship Athletics Other Other
Type of Transcript

Type of Transcript Official- sealed and cannot be opened Unofficial- not sealed and can be viewed
Please send student transcripts to the following institution:
Please check all that apply to the receiving institution 1:

Please check all that apply to the receiving institution 1: Private School Out of State Requires self-reporting
Institution 1 Address Institution 1 Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Institution 1 email address
Please send student transcripts to the following institution:
Please check all that apply to the receiving institution 2:

Please check all that apply to the receiving institution 2: Private School Out of State Requires self-reporting
Institution 2 Address Institution 2 Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Institution 2 email address
I hereby authorize Wesley Chapel High School to release my academic transcripts to the listed institutions. Draw your signature into the box below.

Draw or Type

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Full Name

I understand this is a legal representation of my signature.