Student Transcript Request Form

If you left Howard County Public Schools less than five years ago, then contact your former school.

If you left Howard County Public Schools more than five years ago, then

1. Fill in this form.
2. Print it.
3. Mail it to Howard County Public Schools (address below)

Enter your name as it was when you were last enrolled in Howard County Public Schools:
Last/Maiden: First: M.I.:

Enter your name as it is now, (if different):
Last/Married: First: M.I.:

Your date of birth:// (Example: 10/30/1956)

The high school from which you graduated or withdrew:  Atholton High School Centennial High School Glenelg High School Hammond High School Howard High School Long Reach High School Mt. Hebron High School Oakland Mills High School River Hill High School Wilde Lake High School Howard County Gateway School

The Year You Graduated: <OR> The Year You Withdrew:

Your Current Street Address:

Your Current City, State, Zip:

Daytime Phone Number: Extension:

Home Phone Number:

Check here to have transcript(s) sent to your current address:

Number of transcripts to send to current address:

Complete the following to request that a transcript to be sent to a third party:

Name:

Street Address:

City, State, Zip:

Your Signature:

Print this page (or write out all the required information listed above), and mail it to:

Your transcript request must include:

1. Your signature (print this page and sign in the space above).
2. Cash or money order of $4 for each transcript requested, payable to "HCPSS".

Please refer all questions to the Office of Student Services, 410-313-6799.