CPS CHICAGO PUBLIC SCHOOLS



Request for Records

|Name of School: |

|Address: |

|City State, Zip Code |

|Phone Number: |

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|Fax: |

Parent Signature

Please send the complete cumulative and health records, tests scores, and Special Education records for the following student(s) who have recently enrolled at Helen C. Peirce School of International Studies.

|Name |CPS ID # |D.O.B. |

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| | | |

Thank you for your prompt attention. Please send all records to:

Lynn Carro/Sally Suárez

GSR #32

(773) 534-2440 Phone

(773) 534-2577 Fax

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