Admissions Request for Student Records

Request for Student Records
Dear Registrar: The student below has registered in our school. Public Law 93-380 and Maryland by-law 13.07.05.18 does not require the school forwarding pupil records to obtain parent permission to release records. All Maryland schools are required to send original records, not photocopies. Please send the following records to:

Mount Saint Joseph High School
Admissions Office
4403 Frederick Ave.
Baltimore, Maryland 21229
- Academic transcript/Final 8th grade report card (including attendance)
- Test information (including psychological evaluations)
- Health records (including immunization information)
- Special Education files
Thank you for your promptness.

Sincerely,

Amber Borkoski
MSJ Admissions Office
Student's Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Current School Name*
Current School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I hereby grant permission to Mount Saint Joseph High School to secure from other schools the above specified information.
Parent/Guardian E-Signature*

Clear
Should be Empty: