Editing previous response:

Please fix the highlighted areas below before submitting.

Transcript Request Form

Please complete the form below. Required fields marked with an asterisk *

Contact Information

First Name*

Answer Required

Middle Name

Answer Required

Last Name*

Answer Required

Last Name used at the time of your Enrollment (If Applicable)

Answer Required

Email Address*

Answer Required

Phone Number*

Number Required

Social Security Number*

Answer Required

Current or last grade attended at NYOS Charter School*

Answer Required

Current or last year attended at NYOS Charter School*

Answer Required

Year of High School Graduation (if applicable)

Answer Required

If you are requesting a transcript to be emailed or faxed, please provide email address or fax number

Answer Required

If you are requested a transcript to be mailed, please provide the full mailing address

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Authorization to release records: I authorize NYOS Charter School to release the information above in the manner which I have requested. *FERPA (Family Educational Rights and Privacy Act) is a federal law that gives parents the right to have access to their child's student records. When a student turns 18 years old or enters a post-secondary institution, FERPA rights are transferred from the parent/guardian to the student.*

Answer Required

Requestor's Information

First Name*

Answer Required

Last Name*

Answer Required

Requestor's Email Address (if different from above)

Answer Required

Requestor's Phone Number (if different from above)

Number Required

Signature*

Signature Required

Confirmation Email

Confirmation Email *

Email Required