Request For Student Records
Please fill out the following information to request student's cumulative records. Request(s) will be attended to in the order they were received. If you have any questions or concerns please email Ms. Rodriguez at m.rodriguezruiz@lausd.net 
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School/Person Requesting Records *
Contact Information *
Please select the type of records you are requesting *
Required
Student's Full Name *
Date Last Attended *
MM
/
DD
/
YYYY
Current Grade
Birth Date *
MM
/
DD
/
YYYY
Mailing Address or LAUSD location Code *
This Student Records Request Google Form is for Performing Arts Community School at Diego Rivera Learning Complex. 
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