Alumni Transcript Request | Vallejo City Unified School District Transcripts and Records Requests Scribbles Software

SB 172 signed into law by Governor Brown on October 7, 2015, states that beginning with the graduation class of 2006, students are no longer required to meet the California High School Exit Examination (CAHSEE) requirements to earn a high school diploma. A person who previously failed to receive a high school diploma or was denied graduation solely for failing to meet the CAHSEE requirement may complete the following on-line application to determine the student’s eligibility to receive a high school diploma. After your application is reviewed, you will be contacted with next steps. If your request is approved, ONE copy of your high school diploma will be sent to you free of charge. Please allow 4-6 weeks to receive your diploma. Additional copies may be requested through our regular online ordering process for the regular fee. Vallejo City Unified School District cannot issue diplomas until the law goes into effect in January 2016.

Name While Attending School:

Last Name: ^{(in school)}

First Name:

Middle Name:

Maiden Name:

Suffix:

Last 4 SSN:

Last 4 SSN: ^(confirm)

Student ID:

Information Related To Your Birth:

Date of Birth:

Current Age:

Birth City:

Birth State:

Birth Country:

Your Last Vallejo School of Attendance:

Name of School :

Last Year Enrolled:

Did you graduate?

Yes No

Current Name / Requester Name:

Last Name: ^{(official id)}

First Name:

Middle Name:

Maiden Name:

Suffix:

Current Residence Address: ^{(this may be different than the mailing address)}

Address Line 1:

Address Line 2:

City:

State: ^(region)

Zip Code: ^{(postal code)}

Country:

^{Mailing Address Different:}

Yes No

Current Mailing Address: ^{(if different from residence address)}

Address Line 1:

Address Line 2:

City:

State: ^(region)

Zip Code: ^{(postal code)}

Country:

Telephone Number: ^{(###-###-####)}

^Primary:

^Cell:

Updates via Text Message?

Yes No

Driver's License: ^{(or other State Issued ID)}

^{ID Number:}

^{Issuing State:}

Email:

^Address:

^Confirm:

Special Instructions :

Documents Will Be Delivered To: ^{please enter the delivery addresses}

	Name	Attention	Addr 1	Addr 2	City	State	Zip	Country	# of Copies

Reason(s) for Request of Student Record:

Employment

College

Immigration

AB540 (CA Dream Act)

Other

Select The Information Type(s) Requested:

CA SB 172

( $0.00 ea. + $0.00 copy )

Total Fee:

AUTHORIZATION NOTIFICATION:

My initials below constitute an electronic signature and authorizes Vallejo City Unified School District to release information and / or my student record and confirms I have completed all sections accurately and truthfully, including information verifying my identity. I understand that the recipient of the record(s) will use the indicated documents(s) for legitimate interests only and that the information contained therein shall not be further transferred or communicated to any other part or agency without my expressed written consent except under authority of Public Law 93-380, Educational Rights and Privacy Act.

I have enclosed the correct fees and understand that they are nonrefundable. I understand that an incomplete form will not be processed and will be considered closed after expiration of the 30 day notification window. I declare under penalty of perjury that the foregoing is true and correct.

Please enter your e-Signature

Your Initials:

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Online CA SB 172 Request Step 1, Please Enter All Information