Frederick County Public Schools



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Governor Thomas Johnson High School

Request for high school Transcript for former GTJHS students and alumni

| | | | |Today’s date: | |

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|Print Name: | |Maiden Name: | |

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|Home Phone #: | | |Cell #:____________________ | | |

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|Date of Birth: | |Year of Graduation: | |

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| |Official Transcript ($2.00 each) | |Unofficial Transcript (free) |# of copies | |

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|Please mail transcript to: | |

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I hereby give my permission to authorized personnel of Governor Thomas Johnson High School to release information requested by colleges, employees, armed forces, technical schools or for statistical information, scholarships or contests.

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|Signature (if over 18) | |Parent/Guardian Signature (if under 18) |

Attach $2.00 per transcript (checks payable to GTJHS) to this request and mail or return to:

GTJHS Counseling Office

1501 N. Market St.

Frederick, MD 21701

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