Northampton High School

College Application Release Permission and Checklist

I request the release of the following school records for _____________________________.

(Name of Student)

____High school transcript, including courses taken, grades, course levels, credits awarded;

____Guidance Counselor Narrative and School Report Form.

Teacher recommendations requested from: _____________________________________

• Please note: Students are expected to provide teachers with stamped addressed
envelopes so that they can mail their recommendations.

• Test scores must be sent to colleges directly from the College Board or ACT.

• If deadlines are not provided below, or if this list is not submitted at least two weeks
in advance of the earliest deadline, the Guidance Office cannot guarantee that
materials will be mailed by the deadline date.

Signature ____________________________________________ Date ________________

Guidance Office Use

Name of college Deadline Transcript/school Other
rec. sent on (date)