Alumni Transcript Request

Required

NamerequiredPlease complete using name when attending Saucon Valley High School

First Name

Maiden (optional)

Last Name

Please complete using name when attending Saucon Valley High School

Email Addressrequired

Phone Numberrequired

Year of Graduation or Year of Withdrawal

Date of Birthrequired

Must contain a date in MM/DD/YYYY format

Name of Organization (Ex: College or Business) the transcript is being sent to:required

Name of Person transcript should be sent to the attention of:required

Email, Fax or Address the Transcript should be sent to:

I hereby give permission for the Saucon Valley High School to release my transcript to the above name organization/ college/ person: required

Yes

Please acknowledge the above permission to release your transcript by typing your full name below. required