Records Request Form for The Academy of Las Animas Online

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Welcome to the Official Records Request Form for the Academy of Las Animas Online!

Las Animas School District No. RE-1 Office of Student Records and Reporting maintains the student records for all current and former AIM, Immersion and Academy of Las Animas Online students. You can also call 719-931-4377 for immediate assistance.

Please complete all required fields listed in this form or you can have the new school fax over a records request to 1-719-662-7434 or via email to enrollment@academy-la.com.

It will typically take 2-3 business days for requests to be processed, thank you!

Relationship of the individual to the student who is requesting records: *

Parent/Guardian

School Official

Student

What is your full name? (First and last name required) *

What is a good contact phone number for you? (Please include area code) *

What is a good email address that the records can be sent to? (Please make sure the email is correct before submitting the request or it may delay it) *

What is the name of the student? (First and last name required) *

Is there any other names the student may have gone by? *

Yes (If so, check Other and indicate that name)

Other:

What is the student's date of birth? *

YYYY

Please indicate all the records that are needed: *

All records (Immunizations, Birth Certificate, Transcript and other student data)

Official Transcript

Unofficial Transcript

IEP (For these records, you will want to contact Santa Fe Trail BOCES at 719.383.2623)

504 Plan

Other:

Required

What school did you attend while here with us? AIM, Immersion, Academy Of Las Animas Online or I'm attending a different school or Im sending this to a College or I'm an Adult in need of these records? *

What is the address of the school? (Please include city and zip code) *

What is a good phone number for the school? *

By selecting the "I Accept" button, you are signing this form electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application. By selecting "I Accept" you certify that the information contained in this form is true and correct. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature. You also represent that you are authorized to otherwise "sign" this application via your E-Signature. *

I accept

I do not accept

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