Official High School Transcript



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|Official High School Transcript |

|Student Information |School Information |

|Full Name: |Name: |

|Address: |Address: |

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|Phone Number: |Phone Number: |

|E-mail Address: |E-mail Address: |

|Date of Birth: | |

|Parents: | |

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|Academic Record |

|COURSE TITLE | COURSE DESCRIPTION |CREDITS |

|__________________ academic year (9th grade, x credits) |

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|________________ academic year (10th grade, x credits) |

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|_________________ academic year (11th grade, x credits) |

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|(continued) |

|Official High School Transcript |

|Student Information |School Information |

|Full Name: |Name: |

|Address: |Address: |

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|Phone Number: |Phone Number: |

|E-mail Address: |E-mail Address: |

|Date of Birth: | |

|Parents: | |

Academic Record (continued)

|COURSE TITLE | COURSE DESCRIPTION |CREDITS |

|_______________ academic year (12th grade, x credits) |

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|Supplemental Secondary Academic Record |

|DESCRIPTION |GRADES PARTICIPATING |

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Academic Summary

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|CREDITS – ENGLISH: __ |I do hereby self-certify and affirm that this is the official transcript |

|CREDITS – MATHEMATICS: __ |and record of STUDENT’S NAME in the academic studies of 20xx-20xx. |

|CREDITS – SCIENCE: __ | |

|CREDITS – SOCIAL STUDIES: __ |Signature: |

|CREDITS – ARTS & HUMANITIES: __ | |

|CREDITS – HEALTH & PHYSICAL EDUCATION: __ |_____________________________________________ |

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|TOTAL CREDITS: ___ | |

| |Title: |

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| |Date: |

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Supervisor of home education program

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