Records Request Form

Request Information

Please note: If you are transferring to another Elementary or High School, please do not fill out this request but instead have your new school fax (888-858-9081) or email (recordsrequests@studentswin.org) us their Records Request. Transcripts are not official unless mailed and sealed.
Student Information
Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Which school do you need records from?

Grad SolutionsSmart SchoolsLumos Arts Academy
Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Phone Number
Email
example@example.com
Are you a Graduate?*

YesNo
Name of Institution official transcripts to be mailed:*
Address of Institution official transcripts to be mailed:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Would you like a copy of the transcript sent to your home address?*

YesNo
Would you like an official transcript sent to a college, university or trade school?*

YesNo
Please include the email address, fax number and/or mailing address of the school(s) you'd like to send an official transcript*
Would you like an unofficial copy emailed to you?*

YesNo
Is this request for a JTED school ( EVIT, West-MEC, Pima JTED, ECT)?*

YesNo
Anything else we should know?
Should be Empty:

Request Information