SOUTHWESTERN HIGH SCHOOL GUIDANCE DEPARTMENT

SOUTHWESTERN HIGH SCHOOL GUIDANCE DEPARTMENT
HIGH SCHOOL TRANSCRIPT REQUEST FORM
This form is an interactive PDF form. This means you may complete this form online, but you must print it off and sign it
before submitting. We CANNOT process this form without your signature.
STEP 1: YOUR INFORMATION
Current Name (Last, First, Middle)
Maiden Name (If applicable)
Current Street Address
Phone Number
City
State
Email Address
Zip Code
Grad. Yr.
A confirmation email will be sent to this address once the request has been processed.
STEP 2: DESTINATION ADDRESS
Mail
(# of copies) to address:
Special Request
Check here if you would like these
sealed in separate envelopes.
Mail
(# of copies) to address:
Special Request
Check here if you would like these
sealed in separate envelopes.
Mail
(# of copies) to address:
Special Request
Check here if you would like these
sealed in separate envelopes.
Fax # (if transcript is to be faxed): _________________________________ Attn: _______________________________
Note: Not all institutions accept faxed transcripts. Faxed transcripts are difficult to read and are unofficial.
STEP 3: SIGN
Signature: (Required—Parent signature if under 18)
Date:
Active students please return Transcript Request form to:
Southwestern High School
Email: [email protected]
Guidance Office
Email: [email protected]
PO Box 100
8226 Route 111
Piasa, IL 62079
Phone: (618) 729-3211—Ext. 1114
Fax: (618) 729-4276
All others please return Transcript Request form to:
Southwestern Community Unit School District
PO Box 728
305 North Maple Street
Brighton, IL 62012
Phone: (618) 372-3813—Ext. 1003
Fax: (618) 372-4681
Email: [email protected]