Request For Records - New York City Department Of Education
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1NEW YORK CITY DEPARTMENT OF EDUCATION
GROVER CLEVELAND HIGH SCHOOL -
Dominick Scarola, Principal
2127 Himrod Street
Ridgewood, NY 11385
718.381.9600 extension 137
fax 718.417.8457
dscarol@schools.nyc.gov
Request For Record(s) Print or type information clearly.
Date: _____/ _____/20___
Last Name:
First Name:
Maiden Name:
Phone #:
/
/
(Name before you got married)
Address:
City __________________ State
Zip Code
Date of Birth: _____/ _____/___
Dates of Attendance: from
/
/
to
/
/
or Currently on Register
Date of Graduation
/
/
or Date of Discharge
/
/
Please check requested documents:
Official Transcript - Sent directly to the college/school - $ 3.00
Unofficial Transcript - Sent directly to the student - $ 3.00 (No charge if ordering an official transcript)
Official Graduate Letter Certifying Graduation (in lieu of copy of diploma) - $ 2.00
Discharge Papers B discharge letter, transcript & immunization - No Charge
Immunization History (If attended this school after September 1980) - No Charge
Transfer Papers to attend another New York City high school - No Charge
Transfer Papers to attend a school outside of NYC or a non-public H.S. - No Charge
**********************************************************************
Enclose your request and any monies:
Please send the above-checked request(s) to: Grover Cleveland High School
Attn: Records Office
21-27 Himrod Street
Ridgewood, NY 11385
FOR OFFICIAL TRANSCRIPT REQUESTS ONLY:
Name of College/School:
_____________
Attention:
Admissions Office/Registrars Office
________
Address:
City __________________ State
Zip Code
UNOFFICIAL TRANSCRIPTS CAN BE SENT TO THE STUDENT
ALL OTHER REQUESTS, PLEASE MAIL TO:
Name:
Address:
City __________________ State
Zip Code
Revised 072610 – dguid/Records Office folder/Records Request
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