BryanIn B ndependentScchoolDiistrict Requesst/ReleaseeforStudeentTransccript Fillo outtheformbelowtoobtainacopyofa studenttransscript.Aparen ntmayrequesstacopyofth heirchild’straanscriptonlyiif 8andthereforeconsidered daneligiblesttudentunder FederalLaw..Oncethechiildreachesthe thatcchildisunderrtheageof18 ageo of18therightssarepassedfrromtheparen nttothechild.. uedpictureID D(i.e.driver’sslicense,passsport,etc.)neeedstobepreesentedinord dertoobtain aanyrecords.A A Agovvernmentissu stand dardtranscrip ptcopychargeeis$2.00forccurrentstuden ntsand$5.00 forformerstu udents.Ifmulltiplecopiesarremade,there willb beapriceincrreaseof$2.00percompletecopy. Stud dentName_________________________________________________________________________________________________________________ (OfficialNameasiitappearsonSch oolRecords) Birth hdate_______________________________S StudentID__________________________ G Graduate YesorNo LasttSchoolAtteended___________________________________________________ LastYeaarAttended d__________________________ PerssonRequesttingRecord_________________________________________________________________________________________________ RelaationshiptoStudent_____________________________________________________________________________________________________ Address________________________________________________________________ _______________________________________________________ City,,State,ZipC Code________________________________________________________________________________________________________ Phon neNumber________________________________________________ FaxNumber_____________________________________________ ReassonforRequ uest__________________________________________________________________________________________________________ #OfficialTranscriptss:_______________________ #Un nofficialTraanscripts:______________________ ___________________________________________________________________________________________________________________________________ Isreecordtobem mailedorfaaxed,pleaseechecktheaappropriateebox: ___________Maail ___________Fax Recordw willbesenttoaddressorfaxnumb berlistedab bove. Pick kedupby__________________________________________________________________ (S Signatureofpersonreceivin ngcopiesofth hestudentfilee) D Date___________________________________ Igivvepermissio onfor________________________________________________________________________________________________________ Namee(MusthaveV ValidPhotoID D) R RelationtoStu udent topiickupmyreecordsasreequestedab bove(Musth haveacopyyoftheStud dent’sPhoto oID). _______________________________________________________________________ ____________________________________________ Signatture D Date uestTakenBy___________________________________________________________ Requ Fo or Office Use On nly Datee___________________________________ Coompleted By: ______________________ Timee_________________________________ Daate: ______________________________ Paaid:
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