Filling the form based on the personal information protection law is a required procedure for issuing a document. This will be used as a consent form of the personal information use.
Student Name *
Your answer
Current Grade Level *
Your answer
Document on Request *
Required
** Other documents (If you would like to have any other documents, please write the documents name.)
Your answer
Delivery Method *
Required
Number of Copies on Your Request Document *
Your answer
Year on Request *
Required
Parent's Contact Info *
Please write your cellphone number (ex. 010-####-####)