Editing previous response:

Please fix the highlighted areas below before submitting.

Student Records Request

TSD

Student Records Request

For Agencies Requesting Records

Student Name (as on diploma or student records)*

Answer Required

Student Date of Birth*

Answer Required

Records Requested:*

Answer Required

Transcript

Diploma

Audiogram

Other:

Send Student Records to:

Name of Location*

Answer Required

Fax

Number Required

Phone

Number Required

E-mail

Answer Required

Requests cannot be filled without a release. Students may complete the Students Records Release form to give authorization to send records.

Upload here or send any FERPA compliant releases to [email protected].

Answer Required

Choose a file or drag it here.

I request these records to be sent to the designated party within 30 days of this request, pending verification of appropriate release of records authorization.*

Answer Required

Confirm

Signature*

Answer Required

Date*

Answer Required

E-mail*

Answer Required

Confirmation Email

Email Required