Clinton High School
Clinton High School Transcript Request Form
401 Arrow Drive
Clinton, MS. 39056
(601) 924-5443
______________________________________________________________________________
Last Name First Name * Maiden/Middle Date of Birth Yr. of Graduation
______________________________________________________________________________
Address City State Zip Telephone
* Ladies: Be sure to list your maiden name--records are filed by the name you used at the time of graduation
Please send my transcript to: Name and address of College/University:
_____ Admissions Office of the college ______________________________
listed at right
_______________________________
_____Return to me at address above
_______________________________
_____Other
____________________________\ ______________________
Student’s Signature or Parent Signature
_____________________
Date
Print off this request form, complete and mail it along with $3.00 for each transcript requested
(Cash only—No Checks) to the address below:
Deborah Morgan, Records
Clinton High School
401 Arrow Drive
Clinton, MS. 39056
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