Records Release Request Form
Use this form to request that a student's records be released to another school, college, university, or authorized organization. To protect student privacy and comply with FERPA regulations, all requests must include either a valid government-issued photo ID from the parent/guardian or eligible student or an official records request form from the receiving institution. Requests will not be processed until all required information and documentation have been received. Please allow 3–5 business days for processing. If you have any questions, please contact jsmith@crths.org.
Student Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Student Email Address
*
Current Grade Level
*
9th
10th
11th
12th
Other
If other, please explain.
Is the student currently enrolled at Cristo Rey Tampa?
*
Yes
No
Date Student Entered Cristo Rey Tampa
*
Date Student Exited Cristo Rey Tampa
*
If the student is currently enrolled, enter N/A
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Requestor Information
Relationship to Student:
*
Student
Parent/Guardian
Receiving School Representative
Other
If other, please explain.
Requestor Name
*
First Name
Last Name
Requestor Email Address
*
Requestor Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Requestor Verification
To protect student privacy and ensure compliance with FERPA, requests must include one of the following:
*
A copy of a valid government-issued photo ID (parent/guardian or eligible student)
A records request/release form from the receiving school
File Upload
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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Recipient Information
Name of Recipient
*
School, organization, or individual name
Contact Person (if applicable)
Recipient Email Address
*
How should the records be delivered?
*
Email
Pick Up
Other
If other, please explain.
Please allow 3–5 business days for processing. If you select "Pick Up," you will receive an email when your request has been processed and your records are ready to be picked up.
Reason for Records Request
Please explain why you are requesting these records. This information will be used to determine which records are appropriate for release.
Reason for records request:
*
Please explain why you are requesting these records. This information will be used to determine which records are appropriate for release.
Additional Comments or Special Instructions
Certification
I certify that I am authorized to request these records and that the information provided on this form is accurate. I understand that records will not be released until the required verification documentation has been received and reviewed.
Submit Request
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