Student Record Request Form
PLEASE ALLOW TWO FULL BUSINESS DAYS TO RECEIVE A RESPONSE REGARDING YOUR REQUEST. WE MAY REQUIRE A LONGER PROCESSING TIME DURING PEAK PERIODS. 
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. 
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LAST NAME WHILE ATTENDING SCHOOL
Please provide full legal name at the time of enrollment (i.e. maiden name)
*
FIRST NAME WHILE ATTENDING SCHOOL
Please provide full legal name at the time of enrollment
*
MIDDLE NAME 
(if applicable)
SUFFIX 
(if applicable)
CURRENT NAME
(if not the same as above)
DATE OF BIRTH *
MM
/
DD
/
YYYY
LAST 4 DIGITS OF SOCIAL SECURITY NUMBER
(if none, please state "none")
*
FORM OF IDENTIFICATION
You must provide AISD 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.
*
GRADUATION YEAR/LAST YEAR ENROLLED
*
INFORMATION FOR DELIVERY OF RECORD
We can email you a regular copy of your transcript. Sealed copies of your transcript can only be picked up in person or mailed. 
TYPE OF RECORD NEEDED *
FORM OF DELIVERY *
Required
DESIGNEE OR INSTITUTE TO RECEIVE RECORD *
Required
EMAIL ADDRESS TO SEND RECORD
(if applicable)
MAILING ADDRESS TO SEND RECORD
(if applicable)
STUDENT CONTACT INFORMATION
TELEPHONE NUMBER
(***) ***-****
*
EMAIL ADDRESS *
HOW WOULD YOU LIKE TO RECEIVE UPDATES ON YOUR REQUEST? *
SPECIAL INSTRUCTIONS OR REQUEST
AUTHORIZATION NOTIFICATION
I hereby give my consent for Angleton 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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