Records Release Request 2020-2021

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This form is to be filled out by a PARENT/GUARDIAN.

*PLEASE NOTE: The deadline to submit this form is December 15, 2020. If you are requesting transcripts/records to be sent after this date, please send an email to esms.lori@gmail.com with the subject line "Transcript Request".

Please use this form as many times as needed (*ONE FORM PER SCHOOL*) to authorize the release of your child's transcript and/or report card. Please note that your child's transcript will not include the current school year until the end of June.

Transcript and report card final grades from last school year (June 2020) will only show a grade of "MT" (Meets Standards)

Email *

STUDENT LAST NAME *

STUDENT FIRST NAME *

HOMEROOM *

Please provide the following information: 1. Name of school requesting records 2. If school is outside of NYC, provide full mailing address. 3. Name of contact, if available 4. Email address where records should be sent (Ex: Lincoln High School/Jill Smith, Admissions/jsmith@lincolnhs.org) *

Please check this box only if the school will submit the records request directly to ESMS. Requests should be sent to: esms.recordsrequest@gmail.com

Yes, a request for my child's records will be sent directly to ESMS

Information requested *

Transcript (Final transcript available on last day of school - includes all grades)

Report Card - 6th grade

Report Card - 7th grade

Report Card - 8th grade

Other:

Required

Due Date (request should be made two weeks prior to due date) *

YYYY

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