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Transcript Request

Required

If you need more than five transcripts, please fill out this form multiple times.

Please contact Shannon Bradac, College Counseling Office Manager, at sbradac@lfanet.org for any additional questions or requests.

Current Namerequired

Name in High School (Maiden Name)required

Last Grade Completed at LFArequired

9

10

11

12

Year of Graduation or Withdrawal from LFArequired

Date of Birth (mm/dd/yyyy)required

Emailrequired

Phone Numberrequired

Today's Daterequired

Must contain a date in M/D/YYYY format

Number of Transcripts Neededrequired

School or Business Name 1required

Mailing Address of School 1required

Please write the street name, city or town name, state, and zip code.

School or Business Name 2required

Mailing Address of School 2required

Please write the street name, city or town name, state, and zip code.

School or Business Name 3required

Mailing Address of School 3required

Please write the street name, city or town name, state, and zip code.

School or Business Name 4required

Mailing Address of School 4required

Please write the street name, city or town name, state, and zip code.

School or Business Name 5required

Mailing Address of School 5required

Please write the street name, city or town name, state, and zip code.

Due Date(s)required

Please indicate specific deadlines for any recepients. If there is no due date, write "None".