Caddo Parish Magnet High School
Record Request Form Transcripts & ACT Score Reports
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Name (last, first, middle) Date of Birth Student ID Number Telephone Number
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Home Street Address City State Zip Email Address
I waive ____ I do not waive____ my right to see the teacher’s or counselor’s recommendation.
(Important Note: Most Colleges and teachers expect you to waive this right.)
All fees for transcripts and ACT score reports are processed through www.PayForIt.net. This form and
payment must be submitted before any transcript/ACT score report will be processed. Please allow ONE
WEEK (5 working days) for the processing of your request. Note it is the student’s responsibility to
verify that he/she meets qualifying requirements for the university/college prior to making a request.
Students are also responsible for verifying that the university/college will accept a copy of the ACT score
report from the school.
__________________________________________ ____________________________________________
Student Signature Date Parent Signature Date
The following are required prior to processing requests:
Transcript Fee (via www.PayForIt.net) $3.00 per transcript + 3.5% processing fee
ACT Score Report Fee (via www.PayForIt.net) $3.00 per score report + 3.5% processing fee
Request Form with completed information below
Office Use Only
College/University/Individual
(include a complete address)
Application
Deadline
ACT
Copy -
College
Form
Attached -
Date
Request
Form
Submitted
Date Fee
Submitted
via
PayForIt
Date Mailed
(staff initials)
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5.