Bethlehem Area School District Request for Records
Please use this form to request academic records for students who are enrolling in your school and most recently attended school in the Bethlehem Area School District (BASD). Requests sent directly to any staff member will not be honored. Duplicate requests (multiple requests from the same LEA for the same student) will be disregarded, and the requesting LEA will be directed to the original request.

This form should NOT be used to request graduation verifications for the employment of former BASD students. Graduation verifications submitted via this link will not be completed.

This form should NOT be used to request transcripts for former BASD students. Transcript requests submitted via this link will not be completed.

This form should NOT be used by colleges/universities to request academic information for prospective students. Please contact the prospective student to request a copy of their transcript.
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Email *
Student's First Name *
Student's Last Name *
Student's Date of Birth *
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Records being requested *
Required
Student's Grade *
Is the student transferring from a BASD school to another school? *
Most recent school that the student attended *
If the student attended a Non-BASD school as a BASD resident student, please list that school below:
Does the student receive any specialized services (IEP, GIEP, 504)? Please note: an inaccurate answer to this question may delay receipt of relevant records. *
Please identify the reason for your request: 
 *
School/Organization Requesting the Records *
School District Requesting the Records (if applicable)
City and State of the School/Organization Requesting the Records *
First day that the student will be attending the new school: *
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Type of School/Organization Requesting the Records *
Name of Contact Person Requesting the Records *
Email Address of Person Requesting the Records *
Name of Secondary Person Requesting the Records
Email Address of Secondary Person Requesting the Records
Today's Date *
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