LOUDOUN COUNTY PUBLIC SCHOOLS
REQUEST FOR TRANSCRIPTS TO BE SENT TO OTHER SCHOOLS,
ORGANIZATIONS OR SCHOLARSHIP SPONSORS
I hereby request that a transcript of the scholastic records of
Student’s Name
be sent to the following schools, organizations or scholarship sponsors.
School, Organization, or Scholarship
Sponsor
Address
Deadline
Date of
Request
Date
Processed
Scores on the SAT Reasoning and Subject tests, Advanced Placement Exams, and ACT must be sent directly
from the College Board or ACT at the request of the student.
Student’s Name — PRINT or TYPE
Student’s Signature
Parent’s Signature (if student is under 18)
Revised 06-07-11