Transcript Request Form
ST. MARK'S SCHOOL OF TEXAS - OFFICE OF COLLEGE COUNSELING

Full Name:

Advisor’s Name:  Date:
                                  
I permit the St. Mark’s School of Texas to release a copy of my transcript and first-trimester grade report to:


I request that the institution listed above notify the St. Mark’s School of Texas of the admission
decision reached as a result of my application.
The institution’s deadline for receipt of these records is:

I will apply using the Common Application. Yes No

I understand that my failure to submit this transcript request form at least four full working weeks
prior to the deadline listed above may prevent my records from arriving by that date.
The complete mailing address where St. Mark’s should send my records is:




_________________________________________
Signature





------------------------------------------- For Office Use Only----------------------------------------------------------
Request Received by:_________ SSR Submitted: Y_____ N_____ Log ____
Transcript mailed:____________ MYR Submitted: Y_____ N_____ Database_____
Score Report mailed:__________