*
Required
Complete this form if the last school you attended was in Lompoc Unified School District. If your last school was in another district, you must contact that district to request your official transcript be sent to our school.
Maiden or other Last Names used when you attended Lompoc schools
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required
Last name/maiden name used when you attended Lompoc Unified School District.
Most Recent School Attended in Lompoc
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required
Choose the last school you attended in Lompoc
Please Select…
Lompoc Adult School
Lompoc High School
Cabrillo High School
Maple High School
Vandenberg Middle School
Lompoc Valley Middle School
El Camino Middle School
Year Last Attended
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required
(mm/dd/yyyy)
Year you Last Attended in Lompoc Unified School District
Last Name Legal Today
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required
Your legal last name as of today
First Name Legal Today
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required
Your legal first name as of today
Middle Name Legal Today
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required
Your legal middle name as of today
Birth Date
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required
(mm/dd/yyyy)
Your Date of Birth
MM/DD/YEAR
Mailing Address
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required
Your Mailing Address Street & Apartment
Mailing Address City
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required
Your Mailing Address City
Phone Number
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required
Your phone number
xxx-xxx-xxxx
Type your legal name to authorize this request
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required
Your legal name