DRS ALUMNI TRANSCRIPT REQUEST

STUDENT LEGAL FIRST NAME *

STUDENT FIRST NAME AS KNOWN IN DRS *

LAST NAME *

Year Graduated *

EMAIL *

CONFIRM EMAIL *

CELL PHONE *

MOTHER FIRST NAME *

FATHER FIRST NAME *

Home Address *

Name of College, Business or Scholarship Program *

All transcripts will be sent electronically.

Email address for transcript at Institution *

Contact Person at Institution

FEE *

TRANSCRIPT REQUEST FEE ($10.00)

Additional comments/questions (please include your CUNY ID if you want your transcript sent to a CUNY school)

Please note: All requests must be cleared through the Business Office.

For questions please contact Dina Chelst at transcript@drshalb.org.

Please submit one transcript request form per institution.