Transcript Request Form

*NOTE* Effective June 1, 2011, Union-Baker ESD merged with Umatilla-Morrow ESD, and is now known as InterMountain ESD.

Current Name: *Required

Date: *Required

Phone Number: *Required

Email: *Required

Number of transcripts requested: *Required

Name or Names used in School (include middle name if available) *Required

Date of Birth: *Required

Name of School Attended: *Required

Graduation Year: *Required

Where would you like the transcript mailed or faxed? Include your name or company/business name and mailing address or fax number. *Required

Transcripts are not emailed due to data privacy/security

Signature of Parent/Guardian or Eligible Student Age 18 or Older (Type Full Name) *Required

By typing your full name below, you authorize the release of your educational records as described in this request. Your typed name serves as your electronic signature and indicates your consent to disclose these records to the party or parties identified. You certify that the information provided in this request is true and complete.