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TRANSCRIPT REQUEST

Student Name: ________________________________________ Date: ___________________________

Birth Date: _____________________________	Phone: ____________________________

Program: _____________________________________________________

Date Entered:

Date Withdrawn:

Date Completed:

____________________

____________________

____________________

Records requested:	_____ Transcript	_____Certificate

Send Official Transcript to:

Name: ______________________________________________________________________________

Address: ____________________________________________________________________________

City: ________________________________ State: ______________________ Zip: _____________

Phone: ______________________________________

___________________________________ Signature of Student

_______________________ Date

All Financial obligations to Auburn Career Center must be reconciled prior to the release of an academic transcript.

The Auburn Vocational School District affirms that no person shall, on the basis of sex, race, color, religion, national origin, or handicap, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any educational program or activities conducted under its auspices. This shall extend to employees therein and to admission thereto. Inquiries concerning the application of this policy may be referred to the superintendent or by calling Auburn Career Center at 440-357-7542.

8140 Auburn Road * Concord Twp. OH 44077 * 440.357.7542 * 440.358.8012 (Fax)

DLC – 7/23/2022