My Full Name  (Maiden Name): *   Enter your full name while in school ! School I attended: *   Enter school name! Date of graduation:

Where I want my OFFICIAL TRANSCRIPT SENT TO: * Enter mailing address! In case of questions, you can contact me by

Phone:     Email: *   Email cannot be blank! Check your email address!

For information contact: Ana Patricia Jones, LKSD Registrar Patty_Jones@lksd.org P.O. Box 305 * Bethel, Alaska 99559 Phone: (907) 543-4921 Fax: (907) 543-4917