DEER
LAKES
HIGH
SCHOOL
School
Counseling
Office
163
East
Union
Road
Cheswick,
PA
15024
Phone:
724-265-5320 x-2626
Fax:
724-265-5303
FORMER
DEER
LAKES
HIGH
SCHOOL
GRADUATE
TRANSCRIPT
REQUEST/RELEASE
FORM
Former
Graduates
of
Deer
Lakes
igh
School
requesting
a
copy
of
their
transcript
need
to
complete
all
of
the
information
below.
Once
rel
t
a$
c
@
fee
(cash
or
check
made
payable
to
Deer
Lakes
Schoo!
District
—
credit
cards
are
NOT
accepted)
to
to
the
address
at
the
top
of
this
farm.
Please
allow
at
least
5
business
days
from
the
date
we
receive
this
form
for
your
Transcript to
be
processed
&
sent.
Your
full
name
at
the
time
of
graduation:
Date
of
Birth:
(MM/DD/YYYY)
Graduation
Date:
(month
and
year)
Home
address:
Current!
#
&
Street
Name
or
P.O.
Box
City,
State,
&
Zip
Code
Phone
#
you
can
be
reached
at:
E-mail
address
you
can
be reached
at:
Reason
for
request:
(College/School,
employment,
etc)
[|
Official
Transcript
—
will
be
signed
&
embossed
with
DLHS,
school
seal
NOTE:
Official
transcripts
can
only
be
sent
by
mail
directly
to
the
college/school/employer
and
NOT
by
fax
or
e-mail!
If
the
sealed
envelope
is
opened
prior
to
reaching
the
addressee,
the
transcript
is
no
longer
“Official”.
Name
of
College/School/Employer
Street
Address
or
P.O.
Box
City
/
State
/
Zip
Code
L]
Unofficial
Transcript
(wil!
NOT
be
signed
or
embossed
with
school
seal)
CI
will
pick
up
Transcript
Please
allow
at
least
5
business
days
—
you
will
be
notified
when
it
is
ready
for
pick
up
L]
Mail
Unofficial
Transcript
to
me
at
my
home
address
[]
E-mail
Unofficial
Transcript
to:
L]
Fax
Unofficial
Transcript
to:
L]
Thereby
give
permission
to
Deer
Lakes
High
School
to
release
my
academic
transcript
to
the
college,
school,
company,
person
or
agency
identified
above.
SIGNATURE:
DATE:
The
Deer
Lakes
School
District
requires
that
a
completed
&
signed
“Former
DLHS
Graduate
Transcript
Request/Release
Form”
be
filed
with
the
school
district
prior
to
the
release
of
an
academic
transcript
for
any
student
who
graduated
from
Deer
Lakes
High
School.
