Campbell Independent School District 409 West North St., Campbell, TX 75422 903-862-3257 ext. 213 Fax 903-862-3547

James Daugherty, Secondary Principal e-mail: [email protected] Cheryl Casselton, District Secretary e-mail: [email protected]

TRANSCRIPT REQUEST FORM Full Name that will appear on school records: _______________________________________ Year of Graduation or last year enrolled in Campbell High School: _____________________ Date of Birth (month/day/year): __________________________________________________ Current Name and Address:_______________________________________________________ _______________________________________________________ _______________________________________________________ Current Phone Number: _________________________________________________________ Do you wish to pick up the transcript in person?

_____Yes

_____No

Will you need an official copy requiring a district seal? _____Yes

_____No

** If answer is YES, official copies must be sent directly to the requesting agency by the school district. Official transcripts CANNOT be faxed.

ADDRESS where transcript is to be mailed: __________________________________________ __________________________________________ __________________________________________ _____________________________________________

________________________

Student Signature

Date of Request

_________________________________________________

__________________________

Registrar Signature

Date Processed

** Please allow Campbell ISD ten (10) days for processing and mailing.