Vidor AIM Center High School
500 Stadium Dr.
Vidor , Texas 77662
(409) 951-8780 Fax (409) 769-0443
Student’s Name:
Student ID # or SS#:
Student’s Status (Please check one box)
Withdrawn Student
Graduate
(year)
Number of transcripts being requested:
Fee for each transcript is $2.00. Payment may be made at Vidor High School or mailed to the above address attn: Registrar.
Transcript/s should be (Please check appropriate box/s)
Mailed to address below
Picked-up by student
Faxed to name and number below
If the transcript is to be mailed or faxed, type the name and complete address or fax number of the person or institution that you wish to receive the transcript.
I hereby give permission for the Registrar at Vidor AIM Center High School to release any information relative to my transcript including grades, credits earned, GPA, class ranking, test scores (TAAS, TAKS, End of Course, SAT, ACT, etc) and/or health records.
________________________________________________
Student’s Signature or Parent/Guardian of student under 18
___________________
Date
This form is provided for former Vidor AIM Center High School students who wish to request a transcript. When completed, you may mail or fax the form to the Vidor AIM Center High School, Attn. Registrar, 500 Stadium Dr., Vidor, TX 77662, fax # (409) 769-0443.