Collingswood High School Transcript Release Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Effective November 15, 1974, Federal and State Law prohibit the release of pupil records without parent or adult student written authorization. The school cannot release records without this written permission. Ref. New Jersey Administrative Code #6:3-6.1 et seq. states, “Organizations, agencies and persons from outside the school shall have access to pupil records if they have written consent of parent or adult pupil (age 18)”.

The name and photo associated with your Google account will be recorded when you upload files and submit this form.

Any files that are uploaded will be shared outside of the organization they belong to.

Full Name *

Maiden Name (If Applicable)

Date of Birth *

YYYY

Year of Graduation or last year attended. *

Your telephone number *

Your email address *

If you need an official transcript, we must send it directly or it can be placed in a sealed envelope to be included in a portfolio. If you need an unofficial transcript, it can be emailed, mailed, or picked-up. * *

Official, mailed to the address below (must be a school/business address)

Official, placed in a sealed envelope, I will be picking it up in 2-5 business days

Unofficial, I will be picking it up in 2-5 business days

Unofficial, please email, or mail to the address below

Provide the full email addresses, or mailing addresses (including college/business name if applicable) below for your transcripts to be sent to: * *

By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this release form and therefore you authorize the release of a copy of the transcript (school records) concerning the student name provided on this form to outside agencies. * *

I Agree

Required

Today's Date *

YYYY

Notice NOTE: Any other organizations, agencies, and persons from outside the school will have to secure written authorization for the release of such transcripts. A photocopy of this authorization shall be considered as effective and as valid as the original. In order to ensure the integrity of Collingswood High School’s permanent records, as a matter of practice, we will not release “official” transcripts directly to students or parent/guardians. If there are extenuating circumstances, the following message will appear on the transcript “This official transcript has been released directly to the student/parent/guardian.” By submitting this document, you have agreed to all terms outlined within.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Collingswood Public School. Report Abuse

Forms