Mercy High School Transcript Request

Student Information

Dates of attendance at Mercy High School
Student Address

Please Send Official Transcripts of my Academic Record to the following recipients:

Please note:

  • You must provide a complete mailing address.
  • Your transcript cannot be released if there is a hold against your account placed by the Registrar’s Office or the Business Office.

Recipient 1

Recipient 2

Recipient 3

Recipient 4

Recipient 5

Your Contact Information

Please indicate a phone number and email address at which you may be reached should it be necessary for us to contact you about this request.

I hereby authorize Mercy High School, Middletown, CT to release my transcripts to the recipients named on this form.

This will act as your digital signature. Your request cannot be accepted unless this is signed.

Please review your submission before sending your transcript request. If you have any questions, you can email the Guidance department at or call 860-343-3877