Centennial High School Transcript Request Form
(Please fill out a separate request for each institution)

To:  High School Guidance Counselor					  Date: __________________
Student’s Name: ____________________________________
Student’s Date of Birth: ________________________  		Class of _________________
I have submitted an application for admission to ______________________________________
Please send the following items directly to the admissions office as soon as possible (check all that apply)
_______ 1. Official high school transcript
_______ 2. Senior year class/course schedule (if currently enrolled in high school)
_______ 3. Official ACT/SAT scores

Send to (Address):____________________________________
		   ______________________________________	
		   ______________________________________
		   ______________________________________

Please allow up to 4 school days for us to process your request.  It is your responsibility to follow up with the institution regarding receipt of your application and materials.  

_______________________________________________			__________________
Student Signature								Date