LAKE BRADDOCK SECONDARY SCHOOL TRANSCRIPT RELEASE FORM

LAKE BRADDOCK SECONDARY SCHOOL TRANSCRIPT RELEASE FORM

***** Read the directions prior to submitting this form. *****

Name:

(Print neatly) Last, First, Middle Initial

Email:

____________ _____ Cell Phone #:

Counselor:

1. Complete the Senior & Parent Questionnaires -- print it out and give it to your counselor. This must be completed prior to requesting a counselor recommendation.

2. Test Scores: Your transcript does not display SAT or ACT scores. If required, contact SAT or ACT to have your test scores sent directly to the college and NCAA as needed. LBSS CEEB Code 470353

LBSS does not mail SAT or ACT scores to colleges/NCAA. Request them at (SAT) or (ACT)

3. Complete the information requested on the back of this form. A parent/guardian signature (if student is NOT 18 years old) and student signature are required on the first form turned into the Transcript Assistant. Additional request only require a student signature. Additional schools can be added to the initial form at any time.

4. For perspective student-athletes, listing "College Coach" gives HS Student Services permission to send/give an unofficial transcript/test scores to any college coach requesting your records. (This ONLY applies to official requests made by a college coach/recruiter to LBSS.) If you have registered with NCAA, please only list NCAA. If you have attended any other HS outside of FCPS, you must also request that HS also send your transcript to NCAA.

5. Submit payment: The first three transcripts are furnished free of charge. Additional copies are $5.00 per transcript. (Students on free/reduced lunch do not have to pay these fees.) No records will be forwarded until the fees have been paid. Payment can be in the form of cash, check or money order, payable to LBSS. If the initial transcript request is made after the LBSS Student Services' designated deadline (see box), there will be an additional late fee of $5.00 per transcript thay must be paid by all students. EXCEPTION: If you are applying to a self ?reporting school (school does not require a transcript be sent by LBSS), please list these schools but there is no charge.

College Deadline October 1 October 15 November 1 November 15 December 1 December 15

LBSS Request Deadline September 1 September 15 September 29 October 13 October 20 November 3

College Deadline January 1 January 15 February 1 February 15 March 1 March 15

LBSS Request Deadline November 10 December 4 January 2 January 5 January 19 February 2

6. Turn in this form and necessary payment to the Transcript Assistant, Mrs. Morehouse, in HS Student Services, C138. This form should be used in lieu of any college transcript release form. Any fees should be stapled to the transcript form or put in a sealed envelope and attached to this form. You can always add additional colleges to the first form you turn in --- additional requests will not be considered late unless the first form was turned in past the LBSS-designated deadline.

7. What's next? A transcript package is submitted from LBSS to the college/organization and submitted date/materials sent will be entered in Family Connection. A transcript package will include your transcript which lists all final grades through the end of your junior year, your weighted GPA, and your senior courses, a Secondary School Report Form and LBSS/FCPS profiles. When requested and required, a counselor recommendation letter will also be included. Mid-year grades are automatically mailed in mid-to-late February to all colleges you have included on this form. Final transcripts are automatically submitted to any school/organization indicated by you on your Senior Survey which will be completed in early May. There is no additional charge for submitting mid-year grades or final transcripts.

I hereby request that Lake Braddock Secondary School release the necessary official records of my student to the colleges/organizations listed. I understand that no records will be sent until all transcript fees are paid by cash/checks or money orders made payable to "LBSS."

My student is on Free/Reduced Lunch AND has completed the FCPS Consent to Share Information for Benefits for Other Programs: YES NO If verified, there is no fee for transcripts BUT late fees will still apply.

Parent/Guardian Signature (if student is NOT 18)

Date

Student Signature

LAKE BRADDOCK SECONDARY SCHOOL TRANSCRIPT RELEASE FORM

STUDENT NAME: ___________________________

Print Neatly: Name of College/Organization (NCAA, ROTC, etc.) City and State

Selfreporting school (no fee)

Date Due at College or Organization

Yes No

Yes No

Yes No

Yes No

Yes No

Application Type (Check one)

Are you Counselor

FOR OFFICE USE ONLY

Applying via Letter

the

Required by

Common

College Fee

Application? (Check one) Paid Date Processed

Early Decision (ED) Binding

Yes

Yes

Early Action (EA) Non-binding

No

No

Restrictive Early Action (REA) Priority Regular Rolling

Common App ID#

___________

Early Decision (ED) Binding

Yes

Yes

Early Action (EA) Non-binding

No

No

Restrictive Early Action (REA) Priority Regular Rolling

Common App ID#

___________

Early Decision (ED) Binding

Yes

Yes

Early Action (EA) Non-binding

No

No

Restrictive Early Action (REA) Priority Regular Rolling

Common App ID#

___________

Early Decision (ED) Binding

Yes

Yes

Early Action (EA) Non-binding

No

No

Restrictive Early Action (REA) Priority Regular Rolling

Common App ID#

___________

Early Decision (ED) Binding

Yes

Yes

Early Action (EA) Non-binding

No

No

Restrictive Early Action (REA) Priority Regular Rolling

Common App ID#

___________

Date Rec'd: _____________

NC Payment: ___FREE_______

Date Sent: ______________

Date Rec'd: _____________

NC Payment: ___FREE_______

Date Sent: _____________

Date Rec'd: _____________

NC Payment: ___FREE_______

Date Sent: ______________

Date Rec'd: _____________

$5

Payment: _______________ Date Sent: ______________

Date Rec'd: _____________

$5

Payment: _______________ Date Sent: ___________

LAKE BRADDOCK SECONDARY SCHOOL TRANSCRIPT RELEASE FORM

STUDENT NAME: ___________________________

Print Neatly: Name of College/Organization (NCAA, ROTC, etc.) City and State

Selfreporting school (no fee)

Date Due at College or Organization

Yes No

Yes No

Yes No

Yes No

Yes No

Application Type (Check one)

Are you Counselor

FOR OFFICE USE ONLY

Applying via Letter

the

Required by

Common

College Fee

Application? (Check one) Paid Date Processed

Early Decision (ED) Binding

Yes

Yes

Early Action (EA) Non-binding

No

No

Restrictive Early Action (REA) Priority Regular Rolling

Common App ID#

___________

Early Decision (ED) Binding

Yes

Yes

Early Action (EA) Non-binding

No

No

Restrictive Early Action (REA) Priority Regular Rolling

Common App ID#

___________

Early Decision (ED) Binding

Yes

Yes

Early Action (EA) Non-binding

No

No

Restrictive Early Action (REA) Priority Regular Rolling

Common App ID#

___________

Early Decision (ED) Binding

Yes

Yes

Early Action (EA) Non-binding

No

No

Restrictive Early Action (REA) Priority Regular Rolling

Common App ID#

___________

Early Decision (ED) Binding

Yes

Yes

Early Action (EA) Non-binding

No

No

Restrictive Early Action (REA) Priority Regular Rolling

Common App ID#

___________

Date Rec'd: _____________

NC Payment: ___FREE_______

Date Sent: ______________

Date Rec'd: _____________

NC Payment: ___FREE_______

Date Sent: _____________

Date Rec'd: _____________

NC Payment: ___FREE_______

Date Sent: ______________

Date Rec'd: _____________

$5

Payment: _______________ Date Sent: ______________

Date Rec'd: _____________

$5

Payment: _______________ Date Sent: ___________

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