Transcript Request

Liberty Charter School

High School Transcript Request Form

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Student's Legal Name (at the time of enrollment) *

First

Last

Student's Email: *

Name of School/College/University: *

School/College/University Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Any Additional Information to share with our registrar? *

Please check the appropriate response(s) *

Please send current transcript Please send Final transcript Please send any standardized testing data Please email me a copy of my current transcript

Liberty Charter High School is hereby authorized to release any information from my records. Please type your initials below as your electronic signature. *

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