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Request for Student Education Records

Please complete the form below. Required fields marked with an asterisk *
Address
State*
Answer required for "State"

Please Note: Due to FERPA regulations, individuals age 18 and over must request their own records or give permission, via a notarized letter, for another person to access and request their educational records. 

Student's Address While Enrolled in District

State*
Answer required for "State"
Purpose of Request (Choose ONLY ONE)*
Answer required for "Purpose of Request (Choose ONLY ONE)"
Type of information requested (Check ALL that apply)*
Answer required for "Type of information requested (Check ALL that apply)"

Consent

I consent to the release of records listed above to the party named above. I am aware of my rights to review the records and receive a copy at my expense, if I so request.

*NOTE: Student must sign for him/herself, if age 18 or over.

Signature*
Signature Required

Sign this form

By pressing “Sign Form,” you are agreeing to signing this form electronically.
Signature *
Type to sign
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Date:
Confirmation Email