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Secondary School Transcript

1.             Student Name________________________________________  2.Name____________________________________________

Sex_______________      Birth Date_____________________       Address__________________________________________

Parent or Guardian___________________________________      City, State, & Zip__________________________________

Street Address______________________________________       City, State, & Zip Code______________________________

3.             Academic History                                                                                            Phone Number___________________________________

 

School Grade & School Year

 

Course Taken

(Indicate any special levels were appropriate)

 

Grade/

Mark

 

Credits

Earned

 

School Grade &

School Year

 

Course Taken

(Indicate any special levels were appropriate)

 

Grade/

Mark

 

Credits

Earned

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Academic Summary

 

School Year

 

GPA

 

Class Rank

 

Class Size

 

Eng.

 

Math

 

Sci.

 

U.S. History

 

Economics

 

U.S. Govt.

 

Other S. Studies

 

Computer Sci.

 

P.E. (or ROTC)

 

Electives

 

Important Dates

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Anticipated Graduation-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Graduation Date-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

5. Additional Information About Student-       

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. Test Scores and Date Administered-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. Additional School Information- 

 

 

 

 

 

 

8 Previous High School Attended- 

 

 

 

 

 

 

 

 

 

 

 

9. School Official Information-      

Person to Contact for additional information                                                                                                               Signature of Official Certifying this Transcript

Name______________________________________________________________________                               Name______________________________________________________________________

Title                                                                                                                                                                             Title                                                                            Date