Lake George High School
TRANSCRIPT REQUEST

A transcript request must be made by the student, and this form must be filled out in its entirety.

Your name: (Please print): ________________________________________________

Maiden/former name (if applicable): _________________________________________

Your social security #: ____ ____ ____ - ____ ____ - ____ ____ ____ ____

Your date of birth: _______________________________

Your address: ________________________________________________________

Daytime phone: _________________________________

Are you a graduate of Lake George?   If YES, which year ________  If NO, which years attended ___________

Signature: _______________________________________                  Date:  ________________


Please print the mailing address for each transcript or indicate "same as above":

_______________________________________________________
(College, Dept, Person, Employer)

_______________________________________________________
(Mailing Address)

_______________________________________________________
(City, State, Zip)

Mail or fax this form to:

Lake George Jr./Sr. High School
Guidance Office
381 Canada Street
Lake George, NY 12845                                                                                                                                FAX (518) 668-3796

Please note:  We do not accept telephone or email requests.