Transcript Request

Transcript Request Form

First Name: 
Last Name: 
Middle Name: 
Maiden Name (if applicable): 
Email address: 
Contact Phone number: 
Date of Birth: 
Year of Graduation/Last Year Attended: 
Site Attended (Candler, Glynn, Long, Lowndes, Vidalia, Wayne):  

I give permission to Coastal Plains Charter High School to release my transcript, including ACT/SAT scores, as instructed below.

By typing my name, I am submitting my electronic signature here

Date signed: 

Transcript to be picked up in person (ID required). Contact me at this number (enter number only, no dashes)  when transcript is ready. 

Transcript to be mailed to the address provided below.

Please send my transcript to:
Name of college or other institution/business: 

This form can be downloaded here and may be taken in person to the site attended or emailed to: Please allow 5-7 business days for processing. 

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