Student Record Request Form
Only the BISD student in need of their record should fill out this form. An incomplete form or any request not picked up after 30 days will be considered closed and will need to be resubmitted for processing. You will need to complete a new form for multiple requests to different individuals or institutes. BISD requires at least two full business day to process all requests. Peak periods may require additional processing time.
LAST NAME WHILE ATTENDING SCHOOL
PLEASE PROVIDE FULL LEGAL NAME AT THE TIME OF ENROLLMENT (e.g. maiden name for females)
If not the same as above
DATE OF BIRTH
LAST 4 DIGITS OF SOCIAL SECURITY NUMBER
If none, please state this
FORM OF IDENTIFICATION
You must provide BISD with proof of identity before your request can be processed. Your request will be considered incomplete until proof of identity is received. IF PROOF OF IDENTITY IS NOT RECEIVED WITHIN 30 DAYS, YOUR REQUEST WILL BE CONSIDERED VOID AND MUST BE RESUBMITTED.
I will FAX a copy of my I.D. to 979-730-7119
I will E-MAIL a copy of my I.D. to
I will MAIL a copy of my I.D. to RECORDS, 301 BRAZOSWOOD DRIVE, CLUTE, TX, 77531
I will present my I.D. when PICKING UP my request at the BISD Administration Building
Last Brazosport ISD School of Attendance
NAME OF SCHOOL
Brazoswood High School
Brazosport High School
Lighthouse Learning Center
Heritage Christian School
Lake Jackson Intermediate
Lanier Middle School
Rasco Middle School
Stephen F. Austin Elementary
A.P. Beutel Elementary
Bess Brannen Elementary
O.A. Fleming Elementary
Madge Griffith Elementary
Jane Long Elementary
Elisabet Ney Elementary
T.W. Ogg Elementary
Gladys Polk Elementary
O.M. Roberts Elementary
Lanier High School
GRADUATION YEAR/LAST YEAR ENROLLED
ONLY 2018 GRADUATES AND PRIOR (2019 Graduates and Current Students contact the high school)
Information for Delivery of Record
Official/Sealed transcripts cannot be faxed or e-mailed to any individual. Transcripts faxed or e-mailed to any individual will be considered a 'regular/unofficial' transcript. Records must be picked up at the BISD Administration Building, 301 Brazoswood Drive, Clute, TX 77531. If picking up a transcript, please be sure to have your valid I.D.
TYPE OF RECORD NEEDED?
GRADE LEVELS NEEDED?
N/A (Other Records)
FORM OF DELIVERY?
Please select one
PERSON/INSTITUTE/COLLEGE TO RECEIVE RECORD
E-MAIL ADDRESS TO SEND RECORD
FAX NUMBER TO SEND RECORD
MAILING ADDRESS TO SEND RECORD
Student Contact Information
How would you like to receive updates on your request?
SPECIAL INSTRUCTIONS OR REQUEST
I hereby give my consent for Brazosport ISD to release my academic transcript or form of student record to the party indicated above. I understand that by submitting my INITIALS below, this constitutes an electronic signature and confirms I have completed all sections accurately and truthfully including information verifying my identity. I declare under penalty of perjury that the foregoing is true and correct.
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