Records Request Form

Records Request Form

Schools requesting Student Cumulative Records: Please email your request to chelsie.arevalo@peak-prep.org
Requestor Information
Type a question
Name

First NameLast Name
Agency Requesting Records
I authorize the release of my (or my minor children's) records and/or transcripts to the above names person(s) or organization(s).

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Student Information
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Current Grade Level
Email Address
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Information Requested
Type a question

TranscriptsReport CardImmunization RecordsBirth CertificateGPA VerificationAttendance/Enrollment VerificationState Test ScoresBehavioral RecordsSpecial Education RecordsOther
Comments/Notes:
Delivery Information
Recipient Name

First NameLast Name
Send Records by
School Record Information
- Please allow 5 business days for all records requests to be processed
- Please allow 10 business days to process all transcript requests
- Student records are only released to authorized contacts on file
- Scholars who are 18 years of age or older must submit their own requests
- This is an official request for a copy of a student's record. The information included in this request is confidential and should be handled in accordance with all applicable privacy regulations.
Should be Empty:

Requestor Information