Request for Staff or Student Records

Request for Open Records (Staff or Student Information)

Required

Date of Request:required

Must contain a date in MM/DD/YYYY format

Full Name as Reflected on Records:required

First Name

Middle (optional)

Last Name

Date of Birth:required

Must contain a date in MM/DD/YYYY format

Name of Person Requesting Record(s):required

First Name

Last Name

Email Address:required

Phone Numberrequired

Requestor's Relation:required

If requesting STUDENT record(s), please list dates of attendance:

If requesting STAFF record(s), please list dates of employment:

Information Requested:required0 / 5000

How would you like to receive the requested records?required

Please upload a clear photo of your I.D.required

Attach up to 1 file with a maximum size of 10MB

No file chosen

File Upload (if applicable)

Attach up to 1 file with a maximum size of 10MB

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File Upload (if applicable)

Attach up to 1 file with a maximum size of 10MB

No file chosen

File Upload (if applicable)

Attach up to 1 file with a maximum size of 10MB

No file chosen

Acknowledgement and Certificationrequired

By checking this box, I confirm that the information provided is accurate and understand that this confirmation acts as my electronic signature for this staff or student open records request.

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Request for Staff or Student Records

Request for Open Records (Staff or Student Information)

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