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Request for transcripts requires payment of $*.** per copy and takes 7 business days to process. Please send payment in form of check or money order to AACPS, along with request form to the above address. Visa or MasterCard is also accepted. Please include your credit card number and expiration date on this form. Student Signature

Daytime Phone Number

Current Address

(Request Cannot Processed Without Signature)

(Student’s name while in school — please print)

(Number & Street, City, State, Zip Code)

(Number & Street, City, State, Zip Code)

(Number & Street, City, State, Zip Code)

AACPS • Student Records office • DPS/CB 1800/71 (Rev. 3/22) Anne Arundel County Public Schools Student Records Office 8307 Grover Road, Millersville, MD 21108 Student Records Office Request

410-***-**** (Phone) 410-***-**** (Fax) **************@*****.*** Monday–Friday 7:30am–2:30pm

I,, hereby give Anne Arundel County

Date of Request

Public Schools permission to release the records of Last Anne Arundel County Public School attended

Please write in one of the following Year Graduated or Year Withdrawn Date of Birth

Record(s) Requested

Credit Card Number and Expiration Date

High School Transcript $5.00

MasterCard/ Visa (Circle One)

This is a Non-refundable Fee

Please indicate where you want these documents mailed, e-mailed, or faxed. 1. Name

Address

2. Name

Address

.

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