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REQUEST FOR TRANSCRIPT ________________ Date Requested

_____________________________________________ Student’s Name (Please print)

REQUEST FOR TRANSCRIPT _________________ Student ID #

Please copy my transcript for: _____________________________________________________

________________ Date Requested

_____________________________________________ Student’s Name (Please print)

_________________ Student ID #

Please copy my transcript for: _____________________________________________________

Print Name of Institution

Print Name of Institution

The address of the Institution is: __________________________________________________ __________________________________________________ __________________________________________________

The address of the Institution is: __________________________________________________ __________________________________________________ __________________________________________________

(This section must be completed if the institution is outside the state of Nebraska or if it is a Community College outside of Lincoln).

(This section must be completed if the institution is outside the state of Nebraska or if it is a Community College outside of Lincoln).

You may pick up the transcript in a sealed envelope from the registrar 24 hours after the request has been made. You are responsible for mailing the transcript.

You may pick up the transcript in a sealed envelope from the registrar 24 hours after the request has been made. You are responsible for mailing the transcript.

Your signature on this form allows information contained in the school’s files and records to be released to Post-High School Educational Institutions or employers who may be requesting it.

Your signature on this form allows information contained in the school’s files and records to be released to Post-High School Educational Institutions or employers who may be requesting it.

__________________________________________ Parent/Guardian Signature (if under 18)

__________________________________________ Parent/Guardian Signature (if under 18)

_______________________________________ Student’s Signature (if over 18 or graduated)

REQUEST FOR TRANSCRIPT ________________ Date Requested

_____________________________________________ Student’s Name (Please print)

_______________________________________ Student’s Signature (if over 18 or graduated)

REQUEST FOR TRANSCRIPT _________________ Student ID #

Please copy my transcript for: _____________________________________________________ Print Name of Institution

________________ Date Requested

_____________________________________________ Student’s Name (Please print)

_________________ Student ID #

Please copy my transcript for: _____________________________________________________ Print Name of Institution

The address of the Institution is: __________________________________________________ __________________________________________________ __________________________________________________

The address of the Institution is: __________________________________________________ __________________________________________________ __________________________________________________

(This section must be completed if the institution is outside the state of Nebraska or if it is a Community College outside of Lincoln).

(This section must be completed if the institution is outside the state of Nebraska or if it is a Community College outside of Lincoln).

You may pick up the transcript in a sealed envelope from the registrar 24 hours after the request has been made. You are responsible for mailing the transcript.

You may pick up the transcript in a sealed envelope from the registrar 24 hours after the request has been made. You are responsible for mailing the transcript.

Your signature on this form allows information contained in the school’s files and records to be released to Post-High School Educational Institutions or employers who may be requesting it.

Your signature on this form allows information contained in the school’s files and records to be released to Post-High School Educational Institutions or employers who may be requesting it.

__________________________________________ Parent/Guardian Signature (if under 18)

__________________________________________ Parent/Guardian Signature (if under 18)

_______________________________________ Student’s Signature (if over 18 or graduated)

_______________________________________ Student’s Signature (if over 18 or graduated)


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