Ionia Public Schools
Attn: HS Counseling Office
250 E. Tuttle Road
Ionia, MI 48846
616-527-0560
TRANSCRIPT REQUEST FORM
To request an official transcript and copies of other pertinent records requires completion of this form. The form must be printed and signed, and may be delivered or mailed to the Ionia High School Counseling Office. There is no cost to current IHS students. Transcripts will be provided free-of-charge to all Ionia students for 12 months following graduation. The cost to all others for each request is $5 payable in cash, check or money order to Ionia Public Schools. (In order to avoid any delays the form must be filled out completely).
Graduation Date
Non grad: Date last attended (The year you should have graduated from High School)
Type of Transcript Requested:
High School Adult Ed. High School GED ACT Scores
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Last Name First Name Middle Name Maiden
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Street Address City State, Zip
Home Phone Number Cell Phone Number Date of Birth
Where should this information should be sent?
______________________________________________ _______________________________
Name of institution or organization To the attention of:
______________________________________________________ _____________________________ _____________ ________________
Street Address City State ZIP
Special Instructions: ________________________________________________________________________________
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These documents were requested by_______________________________________ __________
Signature Date
Office use only: Date emailed _____________
No. of Copies _______ mailed ____or picked-up ___on _________________
Total received $ ________ Cash Check ________ by _____________________________________
Check #