Family & Scholar (Cumulative) Records Request Form
Dearest DPHHS Families, Scholars, & Staff,

Please use this form to request all records from your student's file, that colleges, jobs, after school programs and internships may be in need of. If you have any questions or inquiries, please email DPHHS_INFO@DEMOCCRACYPREP.ORG.

If you are in need of an enrollment verification letter for your family, please do not complete this form. Instead, please complete the Parental Enrollment Verification Letter Request form by using the links here: https://tinyurl.com/y8foxadr. Espanol aqui> https://tinyurl.com/ycb5rxxa

Ms. Hewitt
DPHHS Campus Registrar/Pupil Accountant/Records Manager

Email address *
Your full name *
Your answer
Scholar's full name *
Your answer
Scholar's date of birth *
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School year(s) that scholar attended DPHHS. If it is the current school year, please skip.
Your answer
Date that record(s) copy is needed in-hand and/or mailed by. Please note that requests take 24-48 hours to process. If you are in need of an enrollment letter for parents, please exit this form and access the correct submission form here: https://tinyurl.com/y8foxadr. Espanol aqui> https://tinyurl.com/ycb5rxxa
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FOR SENIORS ONLY: Name of college(s) to send record(s) to. Please write "NA" otherwise. *
Your answer
FOR SENIORS ONLY: College contact(s) to send record(s) to [ provide the name of admin officer and/or office ] telephone number, email address, address and/or fax number of the office and recipient]. Please write "NA" otherwise. *
Your answer
Due date that records need to be sent to campus personnel, or for you to pick up from the Main Office Drop Off Bin. You may get your records in 24 - 48 business hours minimum. *
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Document type (or name), being requested by the college and/or job program. Select as many as needed *
Required
Reason for request. What program and/or organizational entity is requesting this document? Please clarify by listing the name of each entity. *
Your answer
If you are requesting your Birth Certificate and Updated Student Health Examination form for your working papers. Please indicate your preference below w 1 selection
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