Request For School Records Form - School Board Of St. Lucie County
ADVERTISEMENT
1School Board of St. Lucie County
School Board of St. Lucie County
4204 Okeechobee Road
4204 Okeechobee Road
Fort Pierce, Florida 34947
Fort Pierce, Florida 34947
Request for School Records
Request for School Records
The student(s) listed below intend to register to attend school in St. Lucie County, Florida.
The student(s) listed below intend to register to attend school in St. Lucie County, Florida.
Name__________________________________________ DOB______________Grade________
Name__________________________________________ DOB______________Grade________
Name__________________________________________ DOB______________Grade________
Name__________________________________________ DOB______________Grade________
Name__________________________________________ DOB______________Grade________
Name__________________________________________ DOB______________Grade________
In accordance with the Florida Educational Rights and Privacy Act of 1974 and Florida Statute 1002.22 (3)
In accordance with the Florida Educational Rights and Privacy Act of 1974 and Florida Statute 1002.22 (3)
(d) (1), please forward all of the student’s education records including but not limited to, official transcript,
(d) (1), please forward all of the student’s education records including but not limited to, official transcript,
school grades, attendance, exceptional student education records, health, discipline, social, and all other edu-
school grades, attendance, exceptional student education records, health, discipline, social, and all other edu-
cation records to:
cation records to:
School Name: __________________________________________________________________
School Name: __________________________________________________________________
Street: ________________________________________________________________________
Street: ________________________________________________________________________
City, State, Zip: _________________________________________________________________
City, State, Zip: _________________________________________________________________
Phone: (772) ___________________________ Date of Request: _________________________
Phone: (772) ___________________________ Date of Request: _________________________
STS0104
STS0104
School Board of St. Lucie County
School Board of St. Lucie County
4204 Okeechobee Road
4204 Okeechobee Road
Fort Pierce, Florida 34947
Fort Pierce, Florida 34947
Request for School Records
Request for School Records
The student(s) listed below intend to register to attend school in St. Lucie County, Florida.
The student(s) listed below intend to register to attend school in St. Lucie County, Florida.
Name__________________________________________ DOB______________Grade________
Name__________________________________________ DOB______________Grade________
Name__________________________________________ DOB______________Grade________
Name__________________________________________ DOB______________Grade________
Name__________________________________________ DOB______________Grade________
Name__________________________________________ DOB______________Grade________
In accordance with the Florida Educational Rights and Privacy Act of 1974 and Florida Statute 1002.22 (3)
In accordance with the Florida Educational Rights and Privacy Act of 1974 and Florida Statute 1002.22 (3)
(d) (1), please forward all of the student’s education records including but not limited to, official transcript,
(d) (1), please forward all of the student’s education records including but not limited to, official transcript,
school grades, attendance, exceptional student education records, health, discipline, social, and all other edu-
school grades, attendance, exceptional student education records, health, discipline, social, and all other edu-
cation records to:
cation records to:
School Name: __________________________________________________________________
School Name: __________________________________________________________________
Street: ________________________________________________________________________
Street: ________________________________________________________________________
City, State, Zip: _________________________________________________________________
City, State, Zip: _________________________________________________________________
Phone: (772) ___________________________ Date of Request: _________________________
Phone: (772) ___________________________ Date of Request: _________________________
STS0104
STS0104
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Education