Transcript and Record Release
To Whom It May Concern:

The Family Educational Rights and Privacy Act of 1974 provided that all schools must have written permission for persons over 18 years of age, and parental permission for minors, before school transcripts and records can be released.

Therefore, if it is your wish to have your school transcript or records released, please complete the information below. In the event there are any questions concerning the law mentioned above, please feel free to contact me.

Sincerely,
Joel Brandel
Guidance Counselor
Student's name
Student's name while in high school (if different than current name)
Student's email
Phone Number
Date of Birth
MM
/
DD
/
YYYY
Year of attendance or graduation
Provide the name of institution or person the record should be sent to if different than yourself. **For a transcript to be considered official, we must send the transcript directly to the institution. Any copy sent to the student will be stamped "Issued to Student."
Clear selection
How would you like to receive your copy?
Clear selection
Please provide address/email/fax number for the copy to be sent to:
Consent
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy