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Student Records Request
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* Indicates required question
Student Last Name (while attending LPS)
*
Your answer
Student First Name (while attending LPS)
*
Your answer
Student Middle Initial (while attending LPS)
Your answer
Student Birthdate
*
mm/dd/yyyy
Your answer
Choose from below
*
Graduated
Withdrawn
Required
Year Graduated or Withdrawn
*
Your answer
Last LPS School Attended
*
Your answer
Student Current Name
*
Your answer
Daytime Phone
*
Your answer
Documents Needed-Immunizations records are included with all requests)
*
Check all that apply
Transcript
ACT/SAT Scores
AP Scores
Special Education
Other:
Required
Mail Records To:
*
Your answer
Additional Comments
Your answer
I authorize the release of my school records, as directed above
*
Type current full legal name
Your answer
Type the full legal name of your parent/guardian
*
Your answer
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