Upper Moreland High School Guidance Office

TRANSCRIPT REQUEST FORM


Name ___________________________________

                     

SS#   _________________________

 

Please send my college/scholarship application materials to:

            ______________________________________________

            ______________________________________________

            ______________________________________________

 

Admission Type (check one)

            ______ Rolling

            ______Early Decision/Date Due_____

            ______Regular Decision/Date Due_____

 

The application: (check one)

            ______ attached

            ______ submitted online

            ______ turned in at college open house

 

The application fee: (check one)

            ______attached

            ______submitted online

            ______waived

 

The Personal Essay: (check one)

            ______attached

            ______online

            ______essay not required

 

NOTE:  Applications require a minimum of 5 days to process and send.

______I have signed and dated the application

            ______My parent permission form (PURPLE) is on file in guidance.

 

Student Signature:    _______________________________   Date:  _________

  = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =

Office Use Only

 

Counselor Initials:          ________          Date:    ________          Letter on file:     ________

 

Special Instructions:    _________________________________________________________

                                    _________________________________________________________

 

                                     ______Transcript                       ______SAT

______School Seal                   ______Date on card/Mailed

______School Profile                ______Secretary’s Initials