Request edit access
La Monte R-IV Records Request
Home of the Vikings
301 S. Washington La Monte, MO 65337
(660)347-5621 FAX (660) 347-5467
Justin Thomas

High School Principal
Todd Misenhelter 

Elementary Principal
Amber Knoernschild                          

Sign in to Google to save your progress. Learn more
Child's Name *
Date of Birth *
Social Security Number *
Grade *
Please send us the following information: _Insert Child's Name Below_______________ STUDENT MOSIS ID#                               • Birth Certificate, Social Security Card• Transcript showing subjects, grades, and credits earned• Withdrawal grades and credits earned• Semester or quarter grades completed• Test Scores• Health Records; Immunization Records• Special Testing• I.E.P.• Diagnostic Summary• Explanation of grading system• Previous identification/services for gifted or talented• Attendance records It is not necessary for parents to sign a release when records are being passed from public school to public school.  Note Federal Register, Thursday, June 17, 1976, part II H.E.W. Privacy Right of Parents and Students.                                                Sincerely, Lindsay Bunch, Counselor                              
Former School / Nombre de la escuela:
City, State, Zip
Phone #
Social, Birth Cert, and Immunization records being given in person
Clear form
Never submit passwords through Google Forms.
This form was created inside of La Monte R-IV School. Report Abuse