PDF TRANSCRIPT REQUEST FORM - Gwinnett County Public Schools
RECORDS REQUEST FORM
Return form via mail, fax, or in person to:
Gwinnett County Public Schools Office of Student Records 437 Old Peachtree Road Suwanee, GA 30024
Phone: 678-301-6144 Fax: 678-301-6323
Window Hours: M, W, F 8:30 am ? 4:00 pm $5.00 Fee per Transcript Cash or Money Order ONLY Picture ID Required Allow two (2) business days to process request All Incomplete Requests will be Returned
Name: ______________________________________________________________________________ Name while attending a Gwinnett County Public School: ______________________________________ Date of Birth: _______________________________________________________________________ Phone number: ______________________________________________________________________ GCPS School last attended: ___________________________________________________________ Graduation Date or Withdrawal Date: _________________________________________________ Description of Records Requested: ____________________________________________________ Number of Copies Requested: ____________ ($5.00 per transcript)
I will pick up my transcript/records (48 hour processing time) I need my transcript mailed to: (Name and address for mailing) ___________________________________________________________ ___________________________________________________________ ___________________________________________________________
Please release my records to: _______________________________ (ID REQUIRED)
PRINT NAME: __________________________________________________________________
SIGNATURE: __________________________________________________________________
(AUTHORIZED PERSON RECEIVING RECORDS)
DATE
I understand that a student's education records are confidential and may only be disclosed as allowed by the Family Educational Rights and Privacy Act of 1974, or with the written permission of the student's parent or legal guardian, or of the student (if over 18 or attending a postsecondary school).
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