LALDEF FUTURO Program Transcript Request

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ATTENTION STUDENTS:

PLEASE PRINT THIS FORM AFTER FILLING IN THE INFORMATION
SUBMIT THIS TRANSCRIPT REQUEST TO YOUR HIGH SCHOOL AT YOUR EARLIEST CONVENIENCE.

*If, during the process of submitting this application, you experience technical difficulties, or have questions/concerns on document submissions, please reach out to the FUTURO Team

Email us at: FUTURO@laldef.org

FUTURO Department: (609) 688-0881 ext. 104

GENERAL INFORMATION

Student Name

Student Date of Birth (MM/DD/YYYY)

High School Student ID Number

For which location are you applying?

PrincetonTrenton

HIGH SCHOOL INFORMATION

High School Name

Student and Parent Authorization

We, the FUTURO applicant and the parent/guardian, hereby authorize the release of the school transcript to LALDEF's FUTURO as part of the program application process.

Nosotros, el/la solicitante de FUTURO y el padre/madre o tutor legal, autorizamos por la presente la divulgación del expediente académico a FUTURO como parte del proceso de solicitud del programa.

Name of Student

Handwritten Signature of Student
(Sign this field after you print this document)

Name of Parent/Guardian

Today's Date

Handwritten Signature of Parent/Guardian
(Sign this field after you print this document)

Students must submit this transcript request to their high school’s main office or guidance counselor and request that an official transcript be mailed OR e-mailed to one of the address listed below

LALDEF
c/o FUTURO
714-716 S. Clinton Avenue
Trenton, NJ 08611

or email it to

FUTURO@LALDEF.ORG

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Contact Information

714-716 S. Clinton Avenue, Trenton NJ 08611
Ph: (609) 688-0881· Fax: (609) 964-1651 · E-mail: info@laldef.org · www.laldef.org