Transcript Request Form - Christ the King Regional High School

Transcript Request Form

CHRIST THE KING REGIONAL HIGH SCHOOL

OFFICIAL TRANSCRIPT REQUEST FORM

Instructions for Online Requests

- Official Transcripts may be requested online.

- Official Transcripts will be sent to a college, employer or other agency. Each Transcript Request may include up to two organizations.

- Official Transcripts cannot be released directly to alumni or alumni family members.

- An unofficial copy of the transcript will be mailed to alumni.

- Same day pick up of transcipts is no longer available.

- The fee is $5.00 per Transcript Request Form submitted payable by credit card only.

First Name *
Middle Initial/Name
Last Name *
Maiden Name
Address *
Apt. Number
City *
State *
Zip *
Home Phone *
Cell Phone *
Email Address *
Date of Birth (MM/DD/YYYY) *
Year of Graduation (YYYY) *
Institution/Organization #1
Attention #1
Address #1
City #1
State #1
Zip #1
Institution/Organization #2
Attention #2
Address #2
City #2
State #2
Zip #2
Credit Card *	AMEX Visa Master Card Discover
Credit Card Number *
Expiration Date *
Name on Credit Card *
Address of Card Holder
City,State,Zip of Cardholder