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Transcript Request

Required fields marked with an asterisk *.

This form is for alumni only. After you've filled out this form, remember to return to the previous page and pay $5 per request.

Current students should fill out the form in the Student Services Office and return it to Mrs. Fenske.

Contact Mrs. Fenske ([email protected]) with questions or concerns.

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Last Name at LLHS, if different

Answer required for "Last Name at LLHS, if different"

Graduation Year*

Answer required for "Graduation Year"

Street Address *

Include city, state, & zip code

Answer required for "Street Address "

Email *

Answer required for "Email "

Phone *

Answer required for "Phone "

How many transcripts needed?*

Answer required for "How many transcripts needed?"

$5.00 - 1 transcript

$10.00 - 2 transcripts

$15.00 - 3 transcripts

$20.00 - 4 transcripts

Recipient of Transcript #1 (include complete address, fax, and/or e-mail)*

Answer required for "Recipient of Transcript #1 (include complete address, fax, and/or e-mail)"

Recipient of Transcript #2 (include complete address, fax, and/or e-mail)

Answer required for "Recipient of Transcript #2 (include complete address, fax, and/or e-mail)"

Recipient of Transcript #3 (include complete address, fax, and/or e-mail)

Answer required for "Recipient of Transcript #3 (include complete address, fax, and/or e-mail)"

Recipient of Transcript #4 (include complete address, fax, and/or e-mail)

Answer required for "Recipient of Transcript #4 (include complete address, fax, and/or e-mail)"

Any special requests?

Answer required for "Any special requests?"

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"