Transcript Request

Southwick Regional School
Transcript Request Policy

Current/Former students may request official or unofficial transcripts by completing and submitting the form at the bottom of this page.

PLEASE NOTE: * An official transcript is a signed and sealed document which must be mailed by us directly to that third party, OR if you wish to deliver it yourself, must remain in the sealed envelope in which you receive it. * If you wish to have an unofficial transcript for your records, you may indicate this in your request.

Please note the following:

  1. Student records, including the academic transcript, are protected by the FERPA Privacy Act.  Only the student may request a copy of his or her transcript unless they are under 18.  Family and friends are not permitted access to student records without the written consent of the student. 
  2.  All transcript requests will be processed within 10 days of your request.  
If you have questions, please contact Mrs. Gepfert at kgepfert@stgrsd.org or call Southwick Regional School, 413-569-6171.

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Transcript

Transcript Request

 Southwick Regional School
93 Feeding Hills Road
Southwick, MA 01077

 

Name at time of Graduation:

Last Name:  First Name:  Middle Initial: 

Birthdate (mm/dd/yyyy): 

Year of graduation: 

Year of last attendance (if non-graduate): 

Please choose one:

OFFICIAL copy (signed & sealed) 

UNOFFICIAL copy (not signed)    

Method of Delivery (Select One)

 Pick Up at SRS 

 email:  

 Fax: 

 Mail Transcript to: (Be sure to give complete address)

Name/Instutition:
Street:
City/Town:
State:
Zip Code:

 

Additional Information: 

Signature:   

Contact Phone Number with Area Code: 

*** All transcript requests will be processed within 10 days of your request.

 

 



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