Haverhill High School

Transcript Request Form

STUDENT’S NAME: ______________________

HOMEROOM: ___________

DATE GIVEN TO COUNSELOR: ____________

COUNSELOR (circle one):    

Brunner           Cripps             Hart    

Landry                        Leary  Powers                        Smith

NAME OF COLLEGE:

ADDRESS OF COLLEGE (please print clearly):

ADMISSIONS DEADLINE:

Early Decision: Yes/ No    Early Action: Yes/ No

Send Recommendation: Yes/No

PLEASE NOTE: Students, return this completed Transcript Request form to your counselor at least

2 weeks prior to college/scholarship deadline for an official transcript to be mailed. Transcript requests for scholarships follow the same procedure.

Haverhill High School

Transcript Request Form

STUDENT’S NAME: ______________________

HOMEROOM: ___________

DATE GIVEN TO COUNSELOR: ____________

COUNSELOR (circle one):    

Brunner           Cripps             Hart    

Landry                        Leary  Powers                        Smith

NAME OF COLLEGE:

ADDRESS OF COLLEGE (please print clearly):

ADMISSIONS DEADLINE:

Early Decision: Yes/ No    Early Action: Yes/ No

Send Recommendation: Yes/No

PLEASE NOTE: Students, return this completed Transcript Request form to your counselor at least

2 weeks prior to college/scholarship deadline for an official transcript to be mailed. Transcript requests for scholarships follow the same procedure.