Transcript Request Form

Transcript Request Form

Bridgeton High School Records Request
I am Requesting Records as a:*

Former StudentCollege/University/Trade SchoolEmployerOther
Requester Name*

First NameLast Name
Requester Email*

Confirmation Emailexample@example.com
Requester Phone Number*
Please enter a valid phone number.
Name of Student*

First NameLast Name (Please provide your Last Name as it was when you attended Bridgeton Public Schools)
Date of Birth*

MonthDayYear
Date
Year of Graduation*
If you did not graduate, please enter the last year you attend Bridgeton Public Schools
My Email Address is:*

Confirmation Emailexample@example.com
What Type of Record are You Requesting?*

Transcripts (official with a seal for colleges)Transcripts (non-official for employment)Letter confirming the status of the studentNursing certification recordsFull request including attendance, discipline, and enrollment history (records are housed off-site, may take up to a week to provide such records)Other (Please describe which record you are looking for)
Where Would You Like Your Records Sent?*

Fax NumberMailing AddressBoth
Fax Number:*
Please Enter a Valid Fax Number.
Please Enter the Address Where the Records Need to be Sent*

Street Address

Street Address Line 2

CityState

Zip Code
File Upload*

Please scan or take a photo of your government issued ID and upload here. Providing a Photo ID will help our team keep your information secure and speed up the process. (Passports are acceptable)
Cancelof
Additional Notes:
Is there anything else you think we need to know while we search for your records.
Please verify that you are human*
Should be Empty: