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Online Transcript Request Form

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  Name while attending BLR
  
  Last Name: REQUIRED Please fill out this field. Please enter valid data.
  
  First Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth: REQUIRED Please fill out this field. Please enter a date.
  
  Social Security Number: REQUIRED Please fill out this field. Please enter valid data.
  
  Graduation Year: REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Mailing Address: REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Type of Transcript REQUIRED Official Transcript Unofficial Transcript Please fill out this field.
  
  Where to send or pick up: REQUIRED Pick up by former student/parent Mail to address above Mail to the following college(s) Please fill out this field.
  
  1. College/University Name: Please enter valid data.
  
  Address: Please enter valid data.
  
  2. College/University Name: Please enter valid data.
  
  Address: Please enter valid data.
  
  3. College/University Name: Please enter valid data.
  
  Address: Please enter valid data.
  
  If you pick up in person, you must bring a valid photo ID.
  If requesting records to be mailed, please email a copy of a valid photo ID to [email protected].
  
  Student Signature REQUIRED Please fill out this field. Please enter valid data.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  I verify my signature above. Please select this field.
  
  I consent to the statement below. Please select this field.
  
  As the individual about whom this information is being requested, I hereby authorize Bishop Louis Reicher Catholic School to release the records requested to the recipients listed above.
  
  Your transcript is a legal document. According to FERPA laws, once a student turns 18 or attends a school beyond high school, only the student can request a transcript.
  
  Submit

	High School Campus 2102 North 23rd Street Waco, Texas 76708 254.752.8349 Office Hours: 8:00 a.m. to 4:00 p.m.		Lower School Campus 2208 North 23rd Street Waco, Texas 76708 254.752.8349 Office Hours: 8:00 a.m. to 3:30 p.m.
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