RECORD REQUEST

Page 1 of 1

Request for Student Records

Welcome to the Request for Student Records form. If you represent a neighboring school district or community school, proof of enrollment or a release of records statement is required before a request for records can be fulfilled. If you are a parent/guardian, requests for records are limited to academic records only (i.e. report cards, progress reports, test scores, IEP/ETR). The District will not issue copies of enrollment records, namely birth certificates. If you have additional questions, please send an email to records@eastclevelandschools.org Please note that responses to this form are recorded and automatically submitted to a monitored email address.

1.	Student First Name*

2.	Student Last Name*

3.	Student Date of Birth*
	mm/dd/yyyy

4.	Name of Person Requesting Student Records*

5.	Name of Institution Requesting Student Records*

6.	Email address of requestor*

Please indicate the documents that you are requesting:*

Report card/transcript

Attendance record

Proof of enrollment in East Cleveland City Schools

Student IEP

Student ETR

Other, please specify