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Student Records Request Guide

This document is a records request form from the Parkway School District student records office. It contains a student's request to have their high school transcript sent to a specific organization. The form provides the student's name, date of birth, last school attended, date of graduation, and a signature authorizing the release of records. It directs the transcript to be faxed or emailed to the Joint Apprenticeship and Training Committee with the requested fax number and contact information provided.

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Allison Stock
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74 views1 page

Student Records Request Guide

This document is a records request form from the Parkway School District student records office. It contains a student's request to have their high school transcript sent to a specific organization. The form provides the student's name, date of birth, last school attended, date of graduation, and a signature authorizing the release of records. It directs the transcript to be faxed or emailed to the Joint Apprenticeship and Training Committee with the requested fax number and contact information provided.

Uploaded by

Allison Stock
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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STUDENT RECORDS OFFICE

PARKWAY SCHOOL DISTRICT


760 WOODS MILL RD.
BALLWIN, MO 63011
FAX: (314) 415-9050
Initials

aanderson2@parkwayschools.net

RECORDS REQUEST FORM


DATE: 1/10/2023

If record is to be hand-carried, identification is REQUIRED. Written authorization MUST BE PROVIDED


(by former student 18 years of age or older) for any other person to pick up copy of record. If parent is
still supporting student, then authorization from student is not required.

Please check each item requested:  Graduation Verification Letter (Do


 Elementary/Junior High/Middle School Record not need if transcript is requested.)


✔ * High School Transcript (including ACT/SAT Scores)  Driver Education Verification Letter
Date Completed

 Complete Educational Record  Immunization Record


Name used while attending Parkway school: (Please print)
Mueller Allison Ann 05/03/1995
Last First Middle Date of Birth
Name of LAST PARKWAY School Attended Parkway South Highschool
Month/Year Left Parkway 05/2013 Graduate? Yes 
✔ No Grade level at time of Withdrawal

Where do you want us to send Record/Transcript:

 1. Send to College/University (Official)  5. Self/Personal (Unofficial)


 2. Student Hand-Carry to Institution (Official)  6. Send to Vocational/Technical School (Official)
(Make sure institution will accept as official)
 3. Scholarship/Financial Aid Application (Official)  7. Elementary/Junior High/or High School (Official)
First Name


✔ 4. Employer (Official)  8. Military (Official)
* If an OFFICIAL high school transcript is requested for use by a college, university, vocational school or
potential employer, the transcript must be mailed directly from this office, unless institution approves a hand-
carried/faxed copy. Provide the complete name and address of where you would like your transcript sent by
our office below. Please include address and fax number if you wish records to be faxed and mailed.)

They have approved a copy to be faxed or emailed.


Email : jatc@kcjatc124.org
Fax : 816-942-0854

Fax Number/Contact Name: 816-942-0854 / JATC 124 - I0673 Mueller-Stock A


OFFICE USE ONLY

Signature (Must have signature to process):


Relationship to student: Myself
Last Name

Student print present name if different from record: Allison Mueller-Stock


Student’s Current Address: 8110 Hardy Ave
City/State/Zip Raytown Mo 64138 Contact Phone: 660-221-0509
Please check here ___ if you do not wish address information released to the Parkway Alumni Association.
Parkway School District
Form #224B (Rev. 9/22)

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