Transcript / Student Record Request

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Email Address*

Answer required for "Email Address"

Current Street Address*

Answer required for "Current Street Address"

Phone Number*

Answer required for "Phone Number"

Current City, State, Zip*

Answer required for "Current City, State, Zip"

Full Name as a Student (if different than above)

Answer required for "Full Name as a Student (if different than above)"

Street Address while attending HNHS, if different than above (used for verification purposes)

Answer required for "Street Address while attending HNHS, if different than above (used for verification purposes)"

City, State, Zip while attending HNHS, if different than above (used for verification purposes)

Answer required for "City, State, Zip while attending HNHS, if different than above (used for verification purposes)"

Birth Date*

Answer required for "Birth Date"

Last year attending Holy Names High School*

Answer required for "Last year attending Holy Names High School"

Reason for Leaving Holy Names*

Answer required for "Reason for Leaving Holy Names"

Graduated

Transferred to Another School

Type of Transcript*

Answer required for "Type of Transcript"

Official Transcript (Send Directly to the Institution Below)

Unofficial Transcript (Send to Me)

Where to Send My Transcript*

Answer required for "Where to Send My Transcript"

I will pick up my transcript at the HNHS campus

Mail my transcript to my home address listed above

Email my transcript to me using the email address listed above

Email my transcript to the school, employer, scholarship program or foundation listed below

Mail (via USPS) my transcript to the institution listed below.

Fax my transcript to the institution listed below.

Please transmit my transcript to

Name of School, Employer, Scholarship Program or Foundation

Answer required for "Name of School, Employer, Scholarship Program or Foundation"

Email Address

Answer required for "Email Address"

Street Address

Answer required for "Street Address"

City, State, Zip

Answer required for "City, State, Zip"

Fax Number

Answer required for "Fax Number"

Transcript Cost

Answer required for "Transcript Cost"

$10.00 - Printed Transcript (US Mail)

$5.00 - Digital Transcript (Email)

Please fix the highlighted areas below before submitting.

Transcript / Student Record Request