DCHS Transcript Request Form.pdf - Google Drive

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DCHS Transcript Request Form.pdf - Google Drive

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Page 1 of 1. DeKalb County High School. Transcript Request Form. Complete this form and Mail $2.00 in Cash or Check made

DeKalb County High School Transcript Request Form

Complete this form and Mail $2.00 in Cash or Check made Payable to DCHS Mail to:

DCHS Records

1130 West Broad Street

Smithville, TN 37166

Name while attending DCHS: ____________________________________ Date of Birth:

_________________________________________

Social Security #:

_________________________________________

Year of graduation

or dates of attendance: _________________________________________ Phone #:

_________________________________________

______________________________________________________________ Signature

I request that DeKalb County High School send a copy of my high school transcript to:

____________________________________________ ____________________________________________ ____________________________________________