REQUEST FOR TRANSCRIPT
Student Records Department
January 17, 2008
Below is the Request for Transcript form. Please complete all areas and return to the address below along with a copy of your driver's license and $2.00 for each transcript desired. The return address is found in the body of the form.
REQUEST FOR TRANSCRIPT
TORRANCE UNIFIED SCHOOL DISTRICT
MICROFILM & RECORDS DEPT.
2336 PLAZA DEL AMO
TORRANCE, CA 90509
NAME:__________________________ MAIDEN NAME:_____________________________
SCHOOL:________________________ YEAR:_________________GRAD or WITHDRAWAL
BIRTHDATE:____________________ DAYTIME PHONE:____________________________
PLEASE FORWARD _______OFFICIAL COPY(IES) AND _________UNOFFICIAL COPY(IES)
OF MY HIGH SCHOOL TRANSCRIPT TO THE FOLLOWING ADDRESS:
__________________________________________
__________________________________________
__________________________________________
__________________________________________
TORRANCE UNIFIED SCHOOL DISTRICT
I, ______________________________, HEREBY AUTHORIZE THE RELEASE OF MY SCHOLASTIC RECORDS AND HEREBY WAIVE ALL LIABILITY OF THE TORRANCE UNIFIED SCHOOL DISTRICT FOR RELEASING SAME.
SIGNATURE:_________________________________________
DATE:______________________________________________
LAST 4 DIGITS OF SOCIAL SECURITY #____________________
DRIVER'S LICENSE #:__________________________________
