Request for Records
Student
First Name
Last Name
Student ID Number
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current School in San Juan Unified School District (if Applicable)
Current Grade (if Applicable)
Please Select
TK
KN
1
2
3
4
5
6
7
8
9
10
11
12
Last Attended San Jun Unified School District School (if Applicable)
Student Name at Time of Enrollment
*
First Name
Last Name
Last Year Attended / Graduation Year
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Who is Requesting Records?
*
Parent
Legal Guardian
Self
Other
Your Name
*
First Name
Last Name
Your Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What records are you requesting? (Ex. Progress Report Grades, Behavior, Attendance, Proof of Enrollment, etc.)
*
Special Education Records are Requested via email: nate.carrasco@sanjuan.edu
Phone Number to Contact When Documents are Ready
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email for Electronic Delivery
*
example@example.com
Please Upload a Copy of Your State Or Federal Identification for Verification
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