* Required

First Name*required

Last Name*required

Dates of attendance at Canisius High School*required

Year of graduation from Canisius High School

Mailing address*required

City/Town*required

State*required

Zip Code*required

Email address

Phone number*required

Complete name and address of the institution where you want the transcript sent*required

Phone number of the institution

"By checking this box I confirm that I am the person listed above and give my permission for my Canisius High School transcript to be sent to the institution listed above.​"*

confirmation 

There is no charge for transcripts.