Alumni Transcript Request Form

NORTH BERGEN HIGH SCHOOL Alumni Transcript Request Form

PLEASE PRINT THIS FORM

Name (maiden, if married):

______Phone Number: Home & Mobile

______Year of Graduation (yyyy) Date of Birth (mm/dd/yy)

______Email:

______

Please forward my transcript to the school listed below: (if being mailed directly to you, please put your name in the “Name of School” section)

Name of School ______Street ______City, State, Zip ______

I understand there is a $3 fee for this transcript payable by cash or money order. Money orders should be payable to: North Bergen Guidance Department. Send all requests to: NBHS Guidance Dept. Att. Transcript Request 7417 Kennedy Blvd North Bergen, NJ 07047

You may also drop this form off at the above address. Please do not send cash

Received by: ______Date:______

Please allow 1 week for delivery of transcript from the date we receive the request.