Westwood Regional High School

WESTWOOD REGIONAL JR./SR. HIGH SCHOOL

GUIDANCE DEPARTMENT

TRANSCRIPT RELEASE FORM FOR GRADUATES

Student’s Current Name _______________________________________ Date ____________________

Last Name while attending Westwood High School, if different _________________________________

Year of Graduation ______________D.O.B. ____________ Phone ____________________________

Full Name of College

or Institution ____________________________________________________________

Mailing Address ____________________________________________________________

____________________________________________________________

City, State, Zip ____________________________________________________________

Application Deadline ____________________________________________________________

I am aware that it is my responsibility to have the official test scores sent to any institution.

Student Signature __________________________________________________

Requests by mail should be sent to:

Guidance Department

Westwood Regional Jr./Sr. High School,

701 Ridgewood Road

Twp. of Washington, NJ 07676

Fax No. 201-722-1542

For office use:

Date transcript mailed _______________ Official transcript _______ Unofficial transcript _______

Mailed by __________________ Logged __________ 12/09