Northern High School
Calvert County Public Schools
High School Transcript / Consent for Record Release
Student Name:_________________________________ Student Id #: _____________ Date: ___________________
Email Address: __________________________________________
1: Name of College/University, Military, Trade/Technical School:_____________________________________
Application Deadline: ____________________________________________________________
Did you use the Common App? ___________ If not, please fill in admissions address below.
Institution Admissions Address:_____________________________________
_____________________________________
_____________________________________
Supplemental Forms Required by College/University, Military, Trade/Tech School:
____Counselor Letter of Rec _____ *Teacher Letter of Rec/ Name of Teacher(s):__________________________
*Student is responsible for submitting completed teacher letters to counselor
For office use: Date items sent: ________ Via____________
________________________________________________________________________________________
2: Name of College/University, Military, Trade/Technical School:_____________________________________
Application Deadline: ____________________________________________________________
Did you use the Common App? ___________ If not, please fill in admissions address below.
Institution Admissions Address:_____________________________________
_____________________________________
_____________________________________
Supplemental Forms Required by College/University, Military, Trade/Tech School:
____Counselor Letter of Rec _____ Teacher Letter of Rec/ Name of Teacher(s):__________________________
*Student is responsible for submitting completed teacher letters to counselor
For office use: Date items sent: ________ Via____________
________________________________________________________________________________________
3: Name of College/University, Military, Trade/Technical School:_____________________________________
Application Deadline: ____________________________________________________________
Did you use the Common App? ___________ If not, please fill in admissions address below.
Institution Admissions Address:_____________________________________
_____________________________________
_____________________________________
Supplemental Forms Required by College/University, Military, Trade/Tech School:
____Counselor Letter of Rec _____ Teacher Letter of Rec/ Name of Teacher(s):__________________________
*Student is responsible for submitting completed teacher letters to counselor
For office use: Date items sent: ________ Via____________
________________________________________________________________________________________
Release of Student Records
The law requires that schools receive written permission signed by the parent/guardian before transcripts and other student records can be released to a third party. Please submit original signatures and not a faxed copy.
I give approval to have transcripts and other student records sent by U.S. Mail or transmitted electronically to those listed above when a request to do so is made by my son/daughter.
Signature of Parent/Legal guardian: ____________________________ Date: __/__/__
Student signature: _________________________________________ Date: __/__/__
Please note: Official SAT/ACT scores must be sent from the College Board or ACT. We are unable to send.
*** Submit this request at least 10 school days before the university admission’s deadline you are trying to meet***
If this form is not submitted in the above mentioned time frame the processing of your transcripts/recommendation letter will be delayed and the college(s) may not receive them by the application deadline.
4: Name of College/University, Military, Trade/Technical School:_____________________________________
Application Deadline: ____________________________________________________________
Did you use the Common App? ___________ If not, please fill in admissions address below.
Institution Admissions Address:_____________________________________
_____________________________________
_____________________________________
Supplemental Forms Required by College/University, Military, Trade/Tech School:
____Counselor Letter of Rec _____ Teacher Letter of Rec/ Name of Teacher(s):__________________________
*Student is responsible for submitting completed teacher letters to counselor
For office use: Date items sent: ________ Via____________
________________________________________________________________________________________
5: Name of College/University, Military, Trade/Technical School:_____________________________________
Application Deadline: ____________________________________________________________
Did you use the Common App? ___________ If not, please fill in admissions address below.
Institution Admissions Address:_____________________________________
_____________________________________
_____________________________________
Supplemental Forms Required by College/University, Military, Trade/Tech School:
____Counselor Letter of Rec _____ Teacher Letter of Rec/ Name of Teacher(s):__________________________
*Student is responsible for submitting completed teacher letters to counselor
For office use: Date items sent: ________ Via____________
________________________________________________________________________________________
6: Name of College/University, Military, Trade/Technical School:_____________________________________
Application Deadline: ____________________________________________________________
Did you use the Common App? ___________ If not, please fill in admissions address below.
Institution Admissions Address:_____________________________________
_____________________________________
_____________________________________
Supplemental Forms Required by College/University, Military, Trade/Tech School:
____Counselor Letter of Rec _____ Teacher Letter of Rec/ Name of Teacher(s):__________________________
*Student is responsible for submitting completed teacher letters to counselor
For office use: Date items sent: ________ Via____________
________________________________________________________________________________________
7: Name of College/University, Military, Trade/Technical School:_____________________________________
Application Deadline: ____________________________________________________________
Did you use the Common App? ___________ If not, please fill in admissions address below.
Institution Admissions Address:_____________________________________
_____________________________________
_____________________________________
Supplemental Forms Required by College/University, Military, Trade/Tech School:
____Counselor Letter of Rec _____ Teacher Letter of Rec/ Name of Teacher(s):__________________________
*Student is responsible for submitting completed teacher letters to counselor
For office use: Date items sent: ________ Via____________
________________________________________________________________________________________
8: Name of College/University, Military, Trade/Technical School:_____________________________________
Application Deadline: ____________________________________________________________
Did you use the Common App? ___________ If not, please fill in admissions address below.
Institution Admissions Address:_____________________________________
_____________________________________
_____________________________________
Supplemental Forms Required by College/University, Military, Trade/Tech School:
____Counselor Letter of Rec _____ Teacher Letter of Rec/ Name of Teacher(s):__________________________
*Student is responsible for submitting completed teacher letters to counselor
For office use: Date items sent: ________ Via____________
________________________________________________________________________________________
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