Transcript/Student Record Request Form

Form August 14, 2012

茄子视频 City Unified School District offers transcripts and student records free of charge for all our current students and alumni.

Please fill out the following form and attach a copy of your ID and permission form to it.

We process transcripts on a first come, first served basis. Please allow 3-5 business days for your request to be processed.

If you have any questions, contact the Student Hearing and Placement Department via email at records-transcript@scusd.edu, at (916) 643-9425, or via fax at (916) 399-2029.

Transcript/Student Record Information

First Name: *

Middle Name:

Maiden Name:

Last Name: *

Date of Birth: *

School: *

Daytime Phone Number: *

Email: *

Did you graduate from a SCUSD school?: *

Yes

Graduation Date:

Date last attended a SCUSD school (month/year):

Where to send the records

Please select the delivery method for your transcript.

If you select pick up, a SCUSD staff member will call you when you transcript is ready to be picked up at the Serna Center.

Delivery Method: *

Name:

Street Address:

City:

State:

Zip Code:

Phone Number:

Only if different from the number specified above.

Fax Number:

Email:

Only if email is different than address specified above.

Attachments

Attach permission form: *

Download the permission form here.

Attach copy of license or ID: *

Questions or Comments:

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School District (SCUSD)

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