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Schenectady County Community College

High School Transcript Request Form

1) Please print out this form, complete it and mail it to your High School Guidance Office.

or

2) Provide the information shown below to your High School Guidance Office. Ask them to mail your transcript to:

Schenectady County Community College
Office of Admissions
78 Washington Avenue
Schenectady, New York 12305

 

TO:

HIGH SCHOOL GUIDANCE OFFICE

HIGH SCHOOL NAME


SCHOOL ADDRESS


CITY, STATE, ZIP


PLEASE SEND AN OFFICIAL TRANSCRIPT TO:

Schenectady County Community College
Office of Admissions
78 Washington Avenue
Schenectady, New York 12305


REQUESTED BY: (see next page)

NAME:


FORMER NAME:


DATE OF BIRTH:


ADDRESS:

 


CITY, STATE, ZIP:

 


DATES ATTENDED:

OR


DATE GRADUATED:


SOCIAL SECURITY NUMBER:


PHONE NUMBER:


STUDENT SIGNATURE:


DATE:


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