The Daniel and Jason Stevenson
Extracurricular Achievement Award
Transcript Request Form
Deadline: March 3, 2025
Submit completed form to Mrs. Linda Golden | HHS Records Secretary

Dear Applicant:
To request a high school transcript, submit this completed form to Mrs. Linda Golden, HHS Guidance Secretary, at least one (1) full week before the award deadline.
Mrs. Linda Golden
HHS Guidance Secretary 
GoldenL@hudson.edu
330-653-1420, x7556

For more information, please consult the award Web site, at http://webatomics.com/award, or send an e-mail to Jason Stevenson at jason.stevenson@gmail.com

Applicant name: 		________________	
I hereby request that a copy of my official high school transcript be sent via email to the Stevenson Extracurricular Achievement Award:
Applicant Signature:  								
Printed Name:   								
Date: _____________

Instructions for the HHS Guidance Office: 
Please email a copy of the high school transcript for the above-named applicant to Jason Stevenson at jason.stevenson@gmail.com