I WOULD LIKE TO REQUEST A COPY OF THE FOLLOWING (PLEASE CHECK
Duplin County Schools
P. O. Box 128
Kenansville, NC 28349
Attn: Student Services
I WOULD LIKE TO REQUEST A COPY OF THE FOLLOWING (PLEASE CHECK THE APPROPRIATE ITEM):
COST: $6.00 for 1st copy; $3.00 for each additional copy
_____ TRANSCRIPT
• IMMUNIZATION RECORDS
• SAT SCORES
_____ ALL SCHOOL RECORDS
_____ LETTER VERIFYING GRADUATION
_____ OTHER (PLEASE LIST)
____________________________________________
FULL NAME (USE MAIDEN NAME IF APPLICABLE):
________________________________________________________________
DATE OF BIRTH: ___________________ NCDL _____________________
SOCIAL SECURITY #: _____________________________
NAME OF LAST DUPLIN COUNTY SCHOOL ATTENDED:
__________________________________________________
LAST CALENDAR YEAR OF ATTENDANCE: _________
or
YEAR OF GRADUATION: ____________
PLEASE RELEASE THE REQUESTED INFORMATION TO THE PERSON BELOW OR MAIL TO THE ADDRESS BELOW:
Telephone number: _______________________
Number of copy(s) ________
_______________________________________
Signature
FOR OFFICE USE ONLY
Paid by: Cash _________ Check ________ Money Order __________
Date Received: _____________ Date Mailed: _______________
Date Picked: _______________ Date Faxed: ________________
................
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