TEANECK BOARD OF EDUCATION THS Counseling Department - Suite 200

TRANSCRIPT REQUEST FORM
FOR ALUMNI OR NON-ENROLLED STUDENTS

PROCEDURE

1.	There are two types of transcripts. Please check which type you are requesting.

[ ] OFFICIAL TRANSCRIPT: Bears the official raised seal of the school, and mailed directly from Teaneck High School to the institution or business. Official transcripts are generally NOT given directly to the former student or alumnus. However, in exceptional cases, the transcript will be given to the requesting party in a sealed envelope with a signature or stamp across the back flap.

[ ] UNOFFICIAL TRANSCRIPT: Does not bear the official seal or a signature from a school official. Will have a watermark across the transcript and is meant for personal or general use.

2.	Return this form to the School Counseling Office along with the fee in the amount of $5.00 per transcript request. We accept Cash, credit card or debit. To pay by credit or debit, please scan the QR Code to link to my school bucks for payment.

3.	Allow 5-7 business days for processing from time of receipt.

100 Elizabeth Avenue, ,Teaneck, NJ 07666	Phone: 201-833-5425	Fax: 201-833-5429

TEANECK BOARD OF EDUCATION THS Counseling Department - Suite 200

PERSONAL INFORMATION: (Please print all information)

Name: __________________________________ Year of Grad/Year Left: ___________ (at the time of graduation)

Complete current address:_______________________________________________________________

______________________________________________________________________

Date of Birth: ____________________ Phone #_______________________________

Email:____________________________________

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PRINT below the exact name and address (including email if applicable) of each institution to which the official transcript is going to:

1)__________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

2)__________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Date Submitted: ______________ Signature: ____________________________________

Signature is required as authorization for Teaneck High School to release your records

100 Elizabeth Avenue, ,Teaneck, NJ 07666	Phone: 201-833-5425	Fax: 201-833-5429