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Transcript Request Form
Please complete the following form if you are requesting a copy of your high school transcript. If you have any questions please contact our Registrar Adriana Sheedy either by email at
sheedya@dy-regional.k12.ma.us
or by phone 508-398-7650.
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* Indicates required question
Email
*
Your email
Current First Name and Last Name
*
Your answer
Full Name while attending D-Y High School
*
Your answer
Your telephone number
*
Your answer
Your email address
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Year of Graduation or Withdrawal
*
Your answer
SCHOOL, COLLEGE, EMPLOYER, PROGRAM ETC. TO RECEIVE TRANSCRIPT
Please enter information regarding where you want your transcript sent.
Name of School, College, Employer or Program to receive transcript
*
Your answer
School, College, Employer Address
Your answer
City, State, Zip Code
Your answer
Email address to send transcript, if applicable
Your answer
How do you want the transcript sent?
*
Mail
Email
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