Newark Public Schools
Transcript Request FormLast Name: First Name: Middle Initial:*If you are now married, please list your maiden name while attending UHSMaiden Name: Individual / College/Company/ Name Requesting Transcript: Address: _______________________City: _______________ State: ____________ Zip: __________ Cellular Number:Home/Office Number: Birth Date (MM/DD/YYYY): Graduation Year: Number of copies requested: Please mail request to:University High SchoolAttn: Transcript Request55 Clinton PlaceNewark, NJ 07108Please include the following with your mailed request:? $5.00 for each transcript that you request (Cash or Money Order ONLY - NO CHECKS)? Self-stamped addressed envelope where you want your transcript(s) mailed.If you have any questions, please contact the UHS Guidance Department at 973-374-2943 ................
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