Scholar Records Request
I am currently a(n)
*
Please Select
Parent/Guardian
HSLA Scholar (must be 18+)
HSLA Graduate (must be 18+)
Withdrawn Scholar (must be 18+)
CAP Counselor
Parents/Guardians must request and release all records unless the scholar is 18+
Parent/Guardian Name
First Name
Last Name
What year did you Graduate from HSLA?
What year did you leave HSLA?
Date of Birth
mm/dd/yyyy
Email for Delivery
*
Please provide the email that the records should be sent to: example@example.com
Scholar Name
*
First Name
Last Name
Scholar School
*
Please Select
HSLA-Manhattan
HSLA-Harlem
HSLA-Brooklyn
HSLA-Harlem is for SY 21-22 only
Scholar PupilPath ID
*
This can be found in the scholar's PupilPath profile
Scholar Grade
*
Please Select
9
10
11
12
Graduate
Withdrawn
Type of Request (select all that apply)
*
Transcript
Assessments Report
Attendance Record
Progress Report
Report Card (most recent)
Mid-Year Report
School/Class Schedule
IEP
Type of Assessments Report (select all that apply)
All Regents Max Scores
AP Test Scores
*Please note that if an IEP is requested you will be required to physically come in and pick up the copy.
Explanation of Request
*
Signature
*
Clear
Date
-
Month
-
Day
Year
Date
Please verify that you are human
*
Submit
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