Student Records Request
NOTE: If you are a parent and/or legal guardian requesting student documentation for your student, identification should be uploaded to the within this form for verification purposes.
Student's Name
*
First Name
Last Name
Student's ID Number
*
Student's Date of Birth
*
-
Month
-
Day
Year
Date
Last Year of Attendance
*
Last School Attended
*
Requestor's Name
First Name
Last Name
Requestor
*
Please Select
Custodial Parent
Guardian
Self
Other
Relationship to the Student (i.e. Mother, Father, Employer, etc.)
Requestor's Email
example@example.com
Requestor's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Describe the Record(s) Requested:
*
Please be specific with your records request to narrow our search and respond to you quickly and efficiently.
Preferred Method to Receive Records
*
Please Select
Regular Mail
Email
Pick up copies
REMINDER: If you are required to submit a release form, you may attach it using the 'Select File' button below.
File Attachment(s)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload Photo ID
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: