Hialeah-Miami Lakes Senior High School



PLEASE PRINT CLEARLY!HIALEAH-MIAMI LAKES SENIOR HIGH SCHOOLTRANSCRIPT REQUEST FORMName (Print) ____________________________________ Phone ________________(at time of graduation)I.D. #___________________ Date of Birth________________ Year of Graduation___________ELECTRONIC TRANSCRIPT REQUEST~Free of Charge~Place check(s) next to the school(s) desired.____Barry University, Miami Shores____Palm Beach Community College73000000014660000C918____Broward Community College____Santa Fe Community College, Gainesville00C10000C924____Florida A & M University, Tallahassee____St. Thomas University730000000148000730000000146800____Florida Atlantic University, Boca Raton____University of Florida, Gainesville73000000014810000U988____Florida Gulf Coast University, Tampa____University of Central Florida, Orlando730000003255300730000000395400____Florida International University, Miami____University of Miami, Coral Gables00U990730000000153600____Florida State University, Tallahassee____University of North Florida, Central00U973730000000984100____Miami Dade College(All campuses)____University of South Florida, Tampa00C930730000000153700____New College of Florida____University of West Florida73000000395740000U978____ Valencia Community College, Orlando____ Indian River Community College73000000067500000C911____ Tallahassee Community College, Tallahassee _____ Florida Memorial University, Miami 00C927730000000148600I hereby grant permission for the release of my transcripts to the above named college(s).Signature: _________________________________________ Date: ____________________Rev. 6/2015PLEASE PRINT CLEARLY!HIALEAH-MIAMI LAKES SENIOR HIGH SCHOOLTRANSCRIPT REQUEST FORMName (Print) ____________________________________ Phone ________________(at time of graduation)I.D. #___________________ Date of Birth________________ Year of Graduation___________HARD COPY TRANSCRIPT REQUEST:There is a fee of $1.00 per transcript for current high school students and $2.00 for alumni.Circle the amount to be ordered 1 2 3 4 5 Hold for Pick Up _____Mail _____Reason for request for transcript: _______________________________________________________University Name/Mailing Address/ Zip Code: ___________________________________________________Signature____________________________________________Date________________Note:Transcripts are ordered on Friday and are available for pick-up the following Tuesday. Rev. 6/2015 ................
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