05 School Record Transcript

Student Name:
Surname/Primary Name Given Name Middle Name

What is Your Current Class Level? 8th 9th 10th 11th 12th (Class Level assignment is at the
discretion of the U.S. High School)
What Class Level Are You Requesting? 9th 10th 11th 12th

What is the Number of Years Required in your Home Country for the Agents Please Convert the Grading Scale Used by
Completion of Primary and Secondary School? the Student’s School to the Grading Scale Used
11 years 12 years 13 years
in the U.S.A:
U.S.A Letter Grade Home Grade Equivalent
Date Student Will Complete Final A (Excellent)
Year of High School: (Month/Year)
B (Above Average)
Most American high schools demand to see at least three years of a stu-
dent’s grades. So if necessary include transcripts for Grades 6, 7, and 8 if C (Average)
the student is young in order to provide the required 3 years of transcript.
The current courses for which final grades have not yet been received do
D (Insufficient)
NOT count toward meeting the required three years of transcripts. F (Failure)
INSTRUCTIONS: Please list the courses the student completed and the equivalent U.S.A letter grade he/she re-
ceived. Please list courses and use specific courses title (e.g. Biology, Chemistry, Algebra I, Geometry, Spanish II,
etc.) instead of general subject names such as “science” or “math.” Indicate the number of hours the class met each
week in the “hours” column in the tables below. If courses are currently in progress, please do not forget to include
the titles of the courses in progress. Students Must Have at Least a “C” Average Overall (2.0 grade point average).
(*Student Needs to Bring Final Transcript Certified & Translated to English and Present them to ICES Staff and
School upon Arrival in the USA). (Note that your Final Transcript is used by U.S. High Schools for proper placement
in some courses as well as to determine if a student is eligible to try out for extracurricular activities.)

6th Grade YEAR SEMESTER (Check one)

Classes Began: Classes Ended: Classes Began: Classes Ended:

Month/ Day/ Year Month/ Day/ Year Month/ Day/ Year Month/ Day/ Year

Course Title Hours/Week Final Grade Course Title Hours/Week Final Grade
(A, B, C, D, F) (A, B, C, D, F)

School Name Most Recently Attended

Street Address City State/Province Country

* Official or notarized transcripts for all three years must also be submitted with this form.

Signature of School Official: Official School Seal or Stamp

5.1 School Record Transcript

Student Name:
Surname/Primary Name Given Name Middle Name

7th Grade YEAR SEMESTER (Check one)

Classes Began: Classes Ended: Classes Began: Classes Ended:

Month/ Day/ Year Month/ Day/ Year Month/ Day/ Year Month/ Day/ Year

Course Title Hours/Week Final Grade Course Title Hours/Week Final Grade
(A, B, C, D, F) (A, B, C, D, F)

8th Grade YEAR SEMESTER (Check one)

Classes Began: Classes Ended: Classes Began: Classes Ended:

Month/ Day/ Year Month/ Day/ Year Month/ Day/ Year Month/ Day/ Year

Course Title Hours/Week Final Grade Course Title Hours/Week Final Grade
(A, B, C, D, F) (A, B, C, D, F)

Signature of School Official or certified Translator Who Completed this Form: Official School Seal or Stamp

Signature of School Official:

Date (Month/Day/Year)
5.2 School Record Transcript

Student Name:
Surname/Primary Name Given Name Middle Name

9th Grade YEAR SEMESTER (Check one)

Classes Began: Classes Ended: Classes Began: Classes Ended:

Month/ Day/ Year Month/ Day/ Year Month/ Day/ Year Month/ Day/ Year

Course Title Hours/Week Final Grade Course Title Hours/Week Final Grade
(A, B, C, D, F) (A, B, C, D, F)

10th Grade YEAR SEMESTER (Check one)

Classes Began: Classes Ended: Classes Began: Classes Ended:

Month/ Day/ Year Month/ Day/ Year Month/ Day/ Year Month/ Day/ Year

Course Title Hours/Week Final Grade Course Title Hours/Week Final Grade
(A, B, C, D, F) (A, B, C, D, F)

Signature of School Official or certified Translator Who Completed this Form: Official School Seal or Stamp

Signature of School Official:

Date (Month/Day/Year)
5.3 School Record Transcript

Student Name:
Surname/Primary Name Given Name Middle Name

11th Grade YEAR SEMESTER (Check one)

Classes Began: Classes Ended: Classes Began: Classes Ended:

Month/ Day/ Year Month/ Day/ Year Month/ Day/ Year Month/ Day/ Year

Course Title Hours/Week Final Grade Course Title Hours/Week Final Grade
(A, B, C, D, F) (A, B, C, D, F)

12th Grade YEAR SEMESTER (Check one)

Classes Began: Classes Ended: Classes Began: Classes Ended:

Month/ Day/ Year Month/ Day/ Year Month/ Day/ Year Month/ Day/ Year

Course Title Hours/Week Final Grade Course Title Hours/Week Final Grade
(A, B, C, D, F) (A, B, C, D, F)

Signature of School Official or certified Translator Who Completed this Form: Official School Seal or Stamp

Signature of School Official:

Date (Month/Day/Year)