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This form requires Javascript to be enabled for submission and authorization.
*
Required
Name
*
required
First Name While Attending School
Middle (optional)
Last Name While Attending School
Date of Birth
*
required
Must contain a date in M/D/YYYY format
Current Phone Number
*
required
Must contain only numbers
Email Address
*
required
Current Address Information
Street Address
*
required
City
*
required
Must contain only letters and spaces
State
*
required
Must contain only letters and spaces
Zip/Postal
*
required
Must contain only numbers
Record Information
Last Public School Attended in DeSoto County
*
required
Did You:
*
required
Graduate
Withdraw
Recieve a GED
Last Year of Attendance
*
required
Information Being Requested
*
required
Transcript / Graduation Data
Proof of Age / Age Certificate
Health / Immunization Record
SAT / ACT Scores
Withdrawal Dates
Identification (for driver license, social security, etc.)
Other
(Information Being Requested) Other
*
required
Purpose of Request
*
required
Education
Employment
Personal Use
Other
(Purpose of Request) Other
*
required
How would you like your records sent?
*
required
Mail
Email
Pickup In Person
Electronic to In-State School/College
Other
(How would you like your records sent?) Other
*
required
Who do you want the records sent to
*
required
Address for Mailed Transcripts
*
required
Email for Transcripts
*
required
Pickup Date
*
required
Pickup Hours are 8AM-330PM Monday-Friday (Monday-Thursday in the Summer) (Must contain a date in M/D/YYYY format)
Photo ID
*
required
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Driver License, Passport, etc.
I agree
*
required
Submission of this form and providing proof of ID authorizes DeSoto County School District to release information and/or my student record and confirms I have completed all sections accurately and truthfully, including information verifying my identity. I understand that the recipient of the record(s) will use the indicated document(s) for legitimate interests only and that the information contained therein shall not be further transferred or communicated to any other part or agency without my expressed written consent except under authority of Public Law 93-380, FERPA.
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