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Request For Transcript

A parent has requested student records including transcripts, test scores, attendance records, health records, and disciplinary information for a student from their former school. The records are to be mailed to the Main Office of The Institute of Islamic Education, located in Elgin, Illinois. The parent signed the request form, providing their address as well.

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110 views

Request For Transcript

A parent has requested student records including transcripts, test scores, attendance records, health records, and disciplinary information for a student from their former school. The records are to be mailed to the Main Office of The Institute of Islamic Education, located in Elgin, Illinois. The parent signed the request form, providing their address as well.

Uploaded by

iie_office
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Request for Transcripts and Student Records

Student Name (Last, First Middle)

Birth Date

Grade

School Attended
School Address
City, State Zip
Telephone

Fax

I AM REQUESTING THE FOLLOWING RECORDS:


_____ACADEMIC TRANSCRIPT/TEST SCORES, ATTENDANCE
RECORDS _____HEALTH HISTORY, ACCIDENT AND HEALTH
RECORDS _____DISCIPLINARY INFORMATION
I authorize The Institute of Islamic Education to obtain information concerning the above named student.
Please mail my transcript/medical records to;
Attention: Main Office
The Institute of Islamic Education
12 80 Bluff City Blvd.
Elgin, IL 60120

Parent/Guardian Signature: ________________________________________________________

Date: _______________

Address _______________________________________________________________________________________________
City _________________________________________

State _____________ Zip _______________________

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