Last Name (Name while attending SHS)

First Name

Middle Name

Date of Birth (mm/dd/yyyy)

Graduation Year or Year of Last Attendence

Transcript Type

Official (For professional use - employers, unions, colleges, etc.) Unofficial (For personal use)

Mail Transcript to: (Include complete name of institution/person, street address, city, state, zip code)

Your Email Address:

Signature (Type your full name):

Phone Number:

PLEASE DO NOT PAY ONLINE UNTIL YOU HAVE SUBMITTED YOUR FORM!

You may send a personal check for $5 (no cash) made out to Springfield High School to: SHS Guidance Office, 200 South Rolling Road, Springfield, PA 19064. *The payment ($5) must be received before the transcript will be processed.