Petal High School Transcript Request Form
1145 Hwy 42
Petal, MS 39465
(601) 583-4688
Last Name First Name * Maiden/Middle Date of Birth Graduation Yr.
Address City State Zip Telephone
*Ladies: Be sure to list your maiden name—records are filed by the name you used at the time
of graduation.
Please send my transcript to: Name and address of College/University:
_____Admissions Office of the college _________________________________
listed at right
_________________________________
_____Return to me at address above
_________________________________
_____Other
________________________________
Student’s Signature
________________________________
Date
Print off this request form, complete and mail it along with $1.00 for each transcript requested
(Cash only—No checks) to the address below:
Petal High School
Guidance Office
1145 Hwy 42
Petal, MS 39465