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AUTHORIZATION TO RELEASE STUDENT RECORDS
I, the undersigned, hereby request a copy of my school records from the Cedar Rapids Community School District. My information is as follows:
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Email
*
Your email
Name at Graduation (or attendance)
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Your answer
Date of Birth
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Your answer
Year of Graduation (or years attended)
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Your answer
Your Contact Information
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Cell number, email address and mailing address
Your answer
Records to be released to :
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Name of College/Business
Your answer
Where your transcript needs to be sent - We need an email address in order to send your transcript.
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Your answer
Signature/Date - This allows us to release your transcript information per your request.
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Your answer
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