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Student Records Request Form


Student Information:

Student Namerequired
Date of Birthrequired
Must contain a date in M/D/YYYY format

Current/Previous School Information:

School Namerequired
School Addressrequired

Requestor Information:

Requestor Type:required
Requestor Namerequired
First Name
Last Name
Requestor Email Addressrequired

Records Uploads:

Please upload any of the following documents:

  • Transcripts
  • Report Cards
  • Withdrawal Grades
  • Test Scores
  • Health Information
  • Immunization Records
  • Attendance
  • Discipline Records
  • Special Education Records (Include IEP)
File Upload
Attach up to 5 files with a maximum size of 10MB
No file chosen
Additional Information
Please leave us any additional information regarding this request.