Transcript Request Form
Patrick Henry High School Guidance Office
31437 Hillman Highway    Glade Spring, VA 24340
Phone 276-739-3705      Fax 276-739-3731
Office Hours: 7:30 am – 4:00 pm


At least 1 day processing time is required.

Busier times of the year may require more processing time.

INCOMPLETE INFORMATION WILL DELAY REQUEST

Mailed request need to be marked "Attn: Guidance Department"

 

Full Legal Name (Now) _________________________________________
Full Legal Name (When Enrolled) _________________________________
Date of Birth__________Daytime Telephone Number____________________

 

Year of Graduation_________ "or" Last Year of Attendance_____________

 

Records Mailed to:


Place_________________________________________________
Address_______________________________________________
City___________________State_______________Zip__________

Records Faxed to:


Fax Number with area code_________________________________
Attn: _______________________________________________________

 

Records to be Picked Up:
Please call (276) 739-3705 to arrange a time to pick up your records


 
Home