Transcript or Records Request Form

Required

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TRANSCRIPT / RECORDS REQUEST FORM

Date of Request:required

Must contain a date in M/D/YYYY format

Name (name used while attending school)required

First Name

Last Name

Year of Graduationrequired

Name:required

Address Line 1:required

Address Line 2 (optional):

City, State and Zipcoderequired

Email address (if electronic copy is to be sent):

You may submit this request by mail or email:

Thompson Falls High School

Attn: Nykolee Battles

206 Haley Ave W

Thompson Falls, MT 59873

Phone: 1-406-827-3561

Email: nbattles@tfalls.org

Electronic Signature Agreement:required

I affirm that entering my name and phone number below and submitting this form constitutes an electronic signature of this form.

Signature:

Phone Number:

Must contain only numbers

Email Address

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