The student must complete this form as part of the application packet for Passport 2 College. The completed
packet needs to be submitted to: Tammy Johnson, Project Director at the TF School District main office.
High School Transcript Request Form
DeVry University, Passport2College Program
Dear High School Administrator:
I,
(student full name), am a student at your high school and I have applied to DeVry
University's Passport2College program. The Passport2College program offers high school students the opportunity to earn college
credit at no cost. This summer program is offered to upcoming juniors, and seniors wishing to earn college credit in the following
course:
 ENGL-112 Composition (4 credit hours) Classes will meet for eight weeks Tuesday and Thursday from 3:20pm – 5:20pm. First
class starts on July 9, 2013.
This program is at no cost, but does require some forms and applications to be completed and submitted to DeVry University,
including a high school transcript.
High School Transcript Request:
Name of High School:
Student Full Name:
Student Home Address:
City:
State:
Zip:
Date of Birth:
Social Security No.:
Student Home #:
Student Cell #:
Student Email:
This is my request and authorization for you to provide the above requested information to DeVry University:
Thank you for your time and attention,
Student Signature:
Date: