MERRIMACK HIGH SCHOOL

OFFICIAL TRANSCRIPT REQUEST FORM

Student Name _______________________ Graduation Year _______

Address ____________________________ Home Phone ________________________

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Official Transcripts must be mailed directly to the college or organization. Unofficial copies may

be requested for student reference use only. Guidance will mail current student transcripts only if

the receiving organization is not supported by Naviance or does not receive electronic documents.

The Guidance office is available to answer questions about completing college applications and

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Guidance policy stipulates that no student information can be shared with an organization or

person, without the consent of the student (if s/he is at least 18 years of age) or the

parent/guardian. Consequently, until we receive the proper authorized signature on this form, we

cannot send any information to designated persons or organizations.

I hereby grant permission to release my son’s/daughter’s, or my records to the organization listed

(if student is under the age of 18) Alumni Phone # ( )_____-_____

**POST-GRADUATES must include $1.00 fee per transcript for postage and handling, cash

or money order only.