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Transcript / Student Record Request

*Note: If you need more than one transcript then please submit additional forms.

First Name*

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Last Name*

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Previous Name Used (Maiden Name)

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Birth Date*

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Email Address*

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Phone Number*

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What School Did You Graduate From*

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The Dalles High School (TDHS, Wahtonka HS, TDWHS)

Innovations Academy

Other:

If Other, Please Name:

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Last year attending this school*

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Type of Transcript*

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Official (signed and sealed in envelope)

Unofficial

Please mail my transcript to

Delivery Method*

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FAX (5-10 Business Days) It is the student’s responsibility to determine if the recipient will accept a faxed transcript as official)

Pick up at The Dalles High School (5-10 Business Days) We will call you when it is ready

Regular Mail (5-10 Business Days)

Send Transcript to:

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Attention (If Needed):

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Street Address

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City

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Zip/Postal

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Email Address (Only if the recipient wants the transcript by email)

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Fax Number (Only If Transcript is to be faxed)

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Signature*

Signature Required

Other Notes:

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Confirmation Email

Confirmation Email *

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