Transcript Request: George Mason High School
Acknowledgement: *
The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. § 1232g; 34 CFR Part 99) is a Federal law that protects the privacy of student education records. FERPA gives parents certain rights with respect to their children's education records. These rights transfer to the student when he or she reaches the age of 18 or attends a school beyond the high school level. BY AGREEING BELOW, YOU CERTIFY THAT YOU ARE THE INDIVIDUAL NAMED ON THE REQUESTED RECORDS OR HIS/HER PARENT STILL ALLOWED RIGHTS AS PER THE LAW.
REQUESTORS ELECTRONIC SIGNATURE: *
Falls Church City Public Schools requires that you certify this acknowledgement by submitting an electronic signature. To certify that the above information is accurate and true, please type your full, legal name below (if parent, name must match student birth record/legal paperwork AND parent/guardian name in FCCPS database). Your electronic signature is the legal equivalent of your manual signature on this request.
Your answer
Student First Name: *
*First name while in attendance at GMHS
Your answer
Student Middle Name:
*Middle name while in attendance at GMHS
Your answer
Student Last Name: *
*Last name while in attendance at GMHS
Your answer
Student Suffix (if applicable):
Your answer
Date of birth: *
MM
/
DD
/
YYYY
Did you graduate from George Mason High School? *
Graduation or Withdrawal Year: *
(4 digits) If current student, please enter anticipated graduation year.
Your answer
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