SOUTH EFFINGHAM HIGH SCHOOL 1220 Noel C. Conaway Road Guyton, Georgia 31312 (912) 728-7511 Fax: (912) 728-7529 ​• ​ ​• ​ ​• ​ TRANSCRIPT REQUEST FORM

______FIRST NAME MIDDLE NAME LAST NAME MAIDEN NAME ______DATE OF BIRTH (MM/DD/YY) DAYTIME PHONE NUMBER EMAIL ADDRESS ______STREET OR P.O. BOX CITY STATE ZIP

I UNDERSTAND THAT I AM RESPONSIBLE FOR SENDING MY ACT/SAT SCORES DIRECTLY FROM THE TESTING AGENCY TO THE COLLEGES. ​ ______SIGNATURE OF STUDENT DATE (MM/DD/YY) ______SIGNATURE OF PARENT OR GUARDIAN (IF STUDENT IS A MINOR) DATE (MM/DD/YY) *This request must be signed and dated no more than ten days prior to being received by the Effingham County Board of Education. **Please do not ask us to send transcripts to a college until you have applied to the college.** ​ ** Please check what transcript is for: ** ​ ​ ◰ Dual Enrollment ◰ Admissions ◰ Scholarship ⬈ Insurance ⬈ Final ​ ​ ​ ​ ​ ◻ Abraham Baldwin Agriculture ◻ Gainesville State College ◻ Piedmont College College ◻ Georgia College & State University ◻ Point University ◻ Agnes Scott College ◻ Georgia Gwinnett College ◻ Reinhardt University ◻ Albany State University ◻ Georgia Highlands College ◻ Savannah State University ◻ Altamaha Technical College ◻ Georgia Institute of Technology ◻ Savannah Technical College ◻ Andrew College ◻ Georgia Military College ◻ Shorter University ◻ Armstrong State University ◻ Georgia Northwestern Technical ◻ South Georgia State College ◻ Athens Technical College College ◻ South Georgia Technical College ◻ Atlanta Metropolitan College ◻ Georgia Perimeter College ◻ Southeastern Technical College ◻ Atlanta Technical College ◻ Georgia Southern University ◻ Southern Crescent State University ◻ Augusta Technical College ◻ Georgia Southwestern State ◻ Southern Polytechnic State ◻ Augusta University University University ◻ Bainbridge College ◻ Georgia State University ◻ Southwest Georgia Technical ◻ Berry College ◻ Gordon College – Georgia College ◻ Brenau University ◻ Gwinnett Technical College ◻ Truett-McConnell University ◻ Brenau Univ – Women’s College ◻ Kennesaw State University ◻ University of Georgia ◻ Central Georgia Technical College ◻ Lanier Technical College ◻ University of North Georgia ◻ Chattahoochee Technical College ◻ Mercer University ◻ University of West Georgia ◻ Clayton State University ◻ Middle Georgia State College ◻ Valdosta State University ◻ College of Coastal Georgia ◻ Middle Georgia Technical College ◻ Waycross College ◻ Columbus State University ◻ Moultrie Technical College ◻ Wesleyan College ◻ Columbus Technical College ◻ NCAA ◻ West Georgia Technical College ◻ Dalton State College ◻ North Georgia Technical College ◻ Wiregrass Georgia Technical ◻ Darton College ◻ Oconee Fall Line Technical College College ◻ DeKalb Technical College ◻ Ogeechee Technical College ◻ Young Harris College ◻ East Georgia State College ◻ Oglethorpe University ◻ Emmanuel College – Georgia ◻ Okefenokee Technical College ◻ Emory University ◻ Oxford College of Emory University ◻ Fort Valley State University ◻ Paine College

MAIL TRANSCRIPT TO: (PRINT COMPLETE ADDRESS) * We do not mail to personal addresses* Number of Copies Requested: ______