FARRELL AREA HIGH SCHOOL TRANSCRIPT REQUEST FORM
Please allow at least 5 business days for processing from the time the request is received in our office.
 	Student Information	

⁯

⁯

Current Student	Former/Graduated Student

Name: 		Date of Birth: 	/	/	

Address: 		Dates of Attendance:

 	to	

 	College(s) Information	

⁯ M

⁯ M

ail to address:	ail to address:

⁯

Check if faxing instead of mailing
Fax number: (	)		-	 Number of copies: 	

heck if faxing instead of mailing

⁯ C

Fax number: (	)		-	 Number of copies: 	

 	

⁯ M

⁯

ail to address:	Mail to address:

⁯ C

heck if faxing instead of mailing
Fax number: (	)		-	 Number of copies: 	

Check if faxing instead of mailing

⁯

Fax number: (	)		-	 Number of copies: 	

 	/	/	

Student Signature	Date

Guidance Office Use Only:
Date request received: 	

⁯In person	⁯Phone call