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Transcript Request

Use this form to request transcripts or academic records if you attended Longwood Preparatory Academy, Banana Kelly High School, HL Rucker High School or New School for Arts and Sciences. For more information, please see the NYC Department of Education Guidelines for Requesting Records or contact [email protected].

First Name*

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Last Name*

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Other Names Used While Attending This School

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Birth Date*

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Student ID Number

9 digit NYC Student ID number

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Email Address*

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Phone Number*

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School attended*

(Longwood Prep, Rucker, Banan Kelly, New School for Arts and Sciences)

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Last year attending this school*

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Please mail / email my transcript to

Person/Organization name

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Email Address

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Street Address

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City

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Zip/Postal

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Other information or records needed

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I consent to release my transcript to the person/organization indicated above.*

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Yes

Upload a copy of your photo ID (for example, a passport, state-issued photo ID, or an IDNYC ID)*

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Choose a file or drag it here.

Signature*

Signature Required

Confirmation Email

Confirmation Email *

Email Required