Transcript Request Form - Villa Angela-St. Joseph High School

Villa Angela-St. Joseph High School18491 Lake Shore BoulevardCleveland, Ohio 44119216-481-8414 ext. 205www.vasj.comTranscript Request Form$3 FEE PER TRANSCRIPT - CASH or MONEY ORDER ONLYLAST NAME (at time of graduation) FIRST NAME MIDDLE NAMEYEAR OF GRADUATIONPHONE NUMBERI hereby authorize Villa Angela-St. Joseph High School to release my official transcript to:SCHOOL/AGENCY NAMEADDRESS CITY STATE ZIPPleae list any special special instructions here:SIGNATURE REQUIRED FOR PROCESSINGSIGNATURE (Required)DATEPLEASE NOTE:• Transcripts will not be released if there are any outstanding financial obligations or holds on the student’s account• Completed transcript requests are processed in the order in which they are received.• Same-day walk-in service is NOT available at this time.• Debit payments are NOT available at this time.OFFICE USEMail along with $3.00 fee per transcript (cash or money order) to:VASJ High School18491 Lakeshore Blvd.Cleveland, OH 44119Attn: Guidance SecretaryPlease allow 7 business days for processing.CashMoney OrderDate Mailed_______________

B. How did you first hear about VASJ? (Please check one)Alumni Current Student Church Bulletin Advertisement Other:Were you referred by a current VASJ family? Y NIf yes, name of student/family:C. Brothers and SistersName Date of Birth Gender(Circle one)Current School GradeM FM FM FM FD. Family members who are Villa Angela, St. Joseph, or VASJ Graduates or Current Students:Name: Graduation Year: Relationship to Applicant:Name: Graduation Year: Relationship to Applicant:Name: Graduation Year: Relationship to Applicant:E. Extracurricular & Personal ActivitiesAcademic Clubs:Service Clubs/ Projects:Athletics:Drama/Music:Other Activities/Hobbies:Do you participate in either of the following Ohio Department of Education Scholarship Programs?Cleveland Scholarship and Tutoring Program (CSTP)Ohio EdChoice Program2Villa Angela-St. Joseph High SchoolA Catholic community building 21st century leaders in the Ursuline and Marianist traditions

F. Family InformationMother/Stepmother/Female Guardian Name:Home Address:City/Zip:Father/Stepfather/Male Guardian NameHome Address:City/Zip:Home Telephone: ( ) Home Telephone: ( )Employed By:Business Telephone/Cell:Email address:Employed By:Business Telephone/ Cell:Email address:Who has legal custody of this student:Which parent has authority to make decisions regarding applicant:Mother only Father only Both mother and father Other:Is there a court order regarding this student? Y or N (if a court order exists, VASJ must have a copy of the order)Parent StatementWhy do you want your child to attend Villa Angela-St. Joseph High School?3Villa Angela-St. Joseph High SchoolA Catholic community building 21st century leaders in the Ursuline and Marianist traditions

Essay to be completed by Applicant only.In a legible, handwritten reply written by the applicant and using proper spelling, grammar and punctuation, pleaseanswer this question:If you could trade places with any person, living or dead, who would that person be?Explain supporting reasons for your selection and what you would hope to accomplish in your new role.All transfer students MUST answer one additional question (Use a separate sheet of paper if necessary).Why would you like to transfer from your present school to Villa Angela-St. Joseph High School?4Villa Angela-St. Joseph High SchoolA Catholic community building 21st century leaders in the Ursuline and Marianist traditions