Petition to Request Transcript Check for Diploma

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* 1. First Name: 

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* 2. Last Name: 

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* 3. Name on School Records (if different): 

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* 4. Date of Birth (mm/dd/yyyy):

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* 5. Student ID Number (Optional): 

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* 6. Current Address: 

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* 7. City: 

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* 8. State: 

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* 9. Phone Number (include area code): 

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* 10. Current Email:

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* 11. Name of CNUSD high school last attended: 

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* 12. By typing in my name I am providing my signature to this Petition to Request a Transcript Check for Diploma. 
I understand that if I am eligible to receive my high school diploma, I will be providing a proof of identity when picking up my diploma.

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