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Transcript Request
High School Transcript Request
| Current Name | |||
| Did you graduate? | |||
| Do you need this to be an Official Transcript for School or Employment? | |||
| If YES, please do not open the envelope that the Transcript arrives in. This will invalidate the Transcript. | |||
| $ ($3.00 for each copy requested) |
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| This signature authorizes the release of my transcript, to be forwarded as requested above. | ||
| Send Money Order or Company Check ONLY for $3.00 per transcript. Make payable to: Clover Park School District Personal checks will not be accepted. Cash will be accepted in person only. |
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| Mail completed form and fee to: if not addressed exactly as shown, mail often goes missing |
TRANSCRIPTS Clover Park School District Student Services Department 10903 Gravelly Lake Drive SW, #5 Lakewood, WA 98499-1341 |
We are very sorry, but we are unable to accept electronic payments, credit/debit card payments, or faxed requests.
For District Use Only: Date transcript requested: Date Transcript issued:
Picked up in person Mailed to Student Mailed to School/Company Faxed Emailed
Amount Received: Cash Check/MO #: Receipt#:
Picked up in person Mailed to Student Mailed to School/Company Faxed Emailed
Amount Received: Cash Check/MO #: Receipt#: