Immaculate Conception High School
Empowering and Educating Women
from 1915 to 2023
Letter to ICHS Community
ICHS Transcript Request Form
Scholarship Information
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ICHS Transcript Request Form
ICHS Transcript Request Form
ICHS Transcript Request Form
ICHS Transcript Request Form
ICHS Transcript Request Form
ICHS Transcript Request Form
ICHS Transcript Request Form
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ICHS Transcript Request Form
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Official Transcripts must be sent directly to the requesting institution / place of employment.
Transcripts will not be sent to a home address
You must submit a separate request form for each transcript.
**Please note this is Immaculate Conception High School in
Lodi, NJ
**
Current Contact Information
Name
*
First
Last
Email
*
Phone #
*
Identity Information
Name while in attendance at ICHS
*
First
Last
Year of Graduation (or last year attending ICHS)
*
Date of Birth
*
Please upload a photo of an ID or identity document showing your Name and Date of Birth (School ID, Drivers License, etc.)
*
Click or drag a file to this area to upload.
Transcript Information
Official Transcripts must be sent directly to the requesting institution / place of employment.
Transcripts will not be sent to a home address
Name of Requesting Institution / Place of Employment
*
Name of contact person at location
First
Last
Address of Requesting Institution / Place of Employment
*
Address Line 1
Address Line 2
City
Alabama
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Arizona
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District of Columbia
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South Carolina
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Tennessee
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Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Authorization to Release Transcript
You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this release form and therefore you authorize the release of a copy of the transcript (school records) concerning the student name provided on this form to the requesting institution / place of employment.
Signature
*
Clear Signature
Submit