Trevor College Office TRANSCRIPT REQUEST FORM Complete this form for each school to which you are ...

Trevor College Office TRANSCRIPT REQUEST FORM Complete this form for each school to which you are applying.

Name: *

Graduation Year: *

School: *

I authorize the release of my High School transcript to (Include name of the school and complete address): *

Application Due Date: *

Date

Please send a check payable to Trevor Day School for the applicable amount indicated on the fee schedule below. In the memo section of your check, please write "Transcript Request".

Fee Schedule: Graduated prior to 1991 - $25.00 Graduated after 1991 - $10.00 Mail your check and this signed form to: Trevor Day School 312 East 95th Street New York, NY 10128 Attention:Lisa Lanzi

(Request will not be processed until payment is received. Please allow 7-14 business days for processing.)

Electronic Signature The electronic signature below and its related fields are treated by Trevor Day School like a physical handwritten signature on a paper form. I verify that all the information provided in this form is true and correct to the best of my knowledge. (Enter your full name.) *

Day Time Telephone Number: *

Email Address *

Today"s Date: *

Date