Pierce City R-VI Schools

 

High School Transcript

Phone#: 417-476-2515    Fax #: 417-476-5213

300 N. Myrtle St. Pierce City, MO 65723

There is no charge for this service.
Turnaround time is 48 hours upon receipt of fax or mail.
All information must be completely filled in and legible.  

 

Name:________________________________________________________________________  
                 (First)                          (Middle)                      (Last)                        (Maiden)  

Birth Date:  Month _______  Day _______  Year ________  

Year attended or graduated: _________________________________  

Contact Phone # (include area code): (_______)__________-_________________  

Requesting the following records:  

_____Transcript              _____ Testing Information          _____ Health Records  

Mail Transcript to #1                    Mail Transcript to #2

 __________________________________         ________________________________

 __________________________________         ________________________________

 __________________________________         ________________________________

___________________________________         ________________________________

Fax:  ______________________________         Fax:  ___________________________

Attn: ______________________________         Attn:___________________________  

 

 Signature:  ____________________________________________    Date:_______________

To look at a printable version CLICK HERE.