Student Record Request Form
North County Christian School
Current Date:
-
Month
-
Day
Year
Date
Student's Name:
First Name
Last Name
Student's Birthdate:
-
Day
-
Month
Year
Date
Student's Grade Level:
Name of School Requesting Records:
example@example.com
Student's First Date of Enrollment at Your School?:
-
Month
-
Day
Year
Date
Your Name:
First Name
Last Name
Your Position/Job Title:
Your Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Your Email:
example@example.com
Reason for Request:
New School of Attendance
File Review
Special Needs Assessment
Other
Which records are you requesting?:
Entire Cumulative File
IEP and SPED File
Report Cards
Other
How would you like the records sent?:
Email
Mail
Email to send records:
example@example.com
School address to send records:
School Name
Street Address
City
State / Province
Postal / Zip Code
Attention:
First Name
Last Name
Your Signature:
Submit
Should be Empty: