BISHOP O'DOWD HIGH SCHOOL INTERNATIONAL STUDENT ...

TO THE APPLICANT:
Bishop O’Dowd High School
Final Transcript Release Form
DUE JULY 1, 2010
Please complete this form and give it to the counselor, eighth grade teacher or registrar at your
current school. Please provide them with an envelope addressed to Bishop O’Dowd High
School – Admissions, 9500 Stearns Avenue, Oakland CA 94605.
STUDENT: __________________________________________________
Last Name First Middle Initial
PARENT/GUARDIAN: ________________________________________
Last Name First Middle Initial
D.O.B _____________
Phone _____________
ADDRESS:_____________________________________________________________________________
Street City State Zip Code
PRESENT SCHOOL: _____________________________________________________________________
ADDRESS OF SCHOOL: ___________________________________________________________________
Street City State Zip Code
PARENT AUTHORIZATION FOR THE RELEASE OF RECORDS:
The undersigned hereby consents to the release of all education records for the above named student to Bishop
O’Dowd High School.
____________________________________________
Signature of Parent or Guardian
_____________________________
Date
TO THE COUNSELOR/REGISTRAR OR EIGHTH GRADE TEACHER OF CURRENT
SCHOOL:
The above named student is an applicant for admission to Bishop O’Dowd High School. Upon completion of the
school year, please send this form and the official transcript or final report card for the student named above by
June 30 th .
Signature of Principal, Counselor, Eighth Grade Teacher or Registrar
Date