Request for Records

Request for Records
Student

First NameLast Name
Student ID Number
Date of Birth*

MonthDayYear
Date
Current School in San Juan Unified School District (if Applicable)
Current Grade (if Applicable)
Last Attended San Jun Unified School District School (if Applicable)
Student Name at Time of Enrollment*

First NameLast Name
Last Year Attended / Graduation Year*

MonthDayYear
Date
Who is Requesting Records?*

ParentLegal GuardianSelfOther
Your Name*

First NameLast Name
Your Address*

Street Address

Street Address Line 2

CityState / 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: roxane.castaneda@sanjuan.edu
Phone Number to Contact When Documents are Ready*
Please enter a valid phone number.
Email for Electronic Delivery*
example@example.com
Please Upload a Copy of Your State Or Federal Identification for Verification

Cancelof
Should be Empty:

Special Education Records are Requested via email: roxane.castaneda@sanjuan.edu