BHS Official Transcript Release Form

	Year of Graduation
	--None--20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019791978

	Or last year attended
	--None--20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968

	Student ID # (optional)

	Last Name Enter the last name used while enrolled at HHS.

	First Name

	Middle Name

	Email Address

	Home Address 1

	Home Address 2

	City

	State
	--None--ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

	Zip Code

	Please MAIL a copy/copies of my transcript to the following address:
	College or Company   Address   City, State, Zip Code Mail To       Mail To       Mail To

	Please FAX a copy/copies of my transcript to the following number:
	College or Company   Attention   Fax Number Fax To       Fax To       Fax To

	I request that the Battle High School Counseling Office send my official transcript, including ACT and SAT test scores, to the institution(s) listed above. I understand that the ACT scores included on my transcript are not official ACT score reports. *
	By checking this box I'm giving my authorization electronically.

	Request Date
	mm/dd/yyyy