Request for Student Records (for school use only)
This request form is for school use only. The Family Educational Rights and Privacy Act of 1974 allow schools to disclose information from a student’s education record without consent/written permission from the parent to other schools to which a student is transferring.
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Email *
Date of Request
*
MM
/
DD
/
YYYY
JCS Family of Charter Schools *
Please select the Julian Charter School (JCS) the student attended.
Type of Records Request *
For students with an IEP, does the student's new school use SEIS *
 Select N/A, if the student doesn't have an IEP.
Student's Legal Last Name *
Student's Legal First Name *
Date of Birth *
MM
/
DD
/
YYYY
Current Grade *
CA SSID Number
Name of New School *
First Day of Attendance at New School *
MM
/
DD
/
YYYY
Person Requesting Records *
Contact Phone Number *
Student Records to Send *
Mail
Email
Fax
N/A
Cumulative File
Special Education Records (including IEP)
Section 504 Plan
Immunization and Health Records
Attendance Records
State Test Results
Official Transcript
Unofficial Transcript
Progress Report
School Profile
Discipline Records
Physical Street Address to mail records
City
State
Zip Code
Fax Number to send copies
Additional Information
Submit
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