Cold Springs High School

Home of the Eagles

Cold Springs High School

P.O. Box 130

Bremen, AL 35033

(256) 287-1787

Fax # (256) 287-2841

jhood@ccboe.org

High School Transcript Request

I do hereby request that you release transcripts containing my grades and test scores to

_______________________________.

(Name of College or Organization)

 _______________________________

(Address of College or Organization)

 _______________________________
(City, State, Zip)

  Print full name as it appears on high school records:

_____________________________________________

 Social Security Number: _________________________

 Date of Birth: ______________________________________

 Date You Graduated from Cold Springs High School: _____________
 
 Student’s Signature:

____________________________________________________

 Student’s Phone:____________________________________

 Date of Request:____________________________________

Last modified: 10/25/07