Transcript Request - Previous Student

Transcript Request - Previous Student

This form is used to request records for students who are no longer actively enrolled in LPS. Due to the personal information found in student records, this form must be completed by the former student. Records requested by family members or spouses will not be accepted.

If you are a current LPS student, please reach out to your current school for records.

Today's Date*

School Information

Your Name (as it appears on school records)*

Any Other Name(s) Used*

Date of Birth*

Grad Year/Last Year Attended*

Current Information

Current Name*

Address different than what is on ID

Select

Current Address*

Current City*

Current State*

Current Zip Code*

Phone Number*

Phone

Email Address*

We require an ENLARGED READABLE PICTURE ID in order to process your request.*

Drag and drop files here or

Type of Record Requested*

Permanent Individual Records (PIR) - the PIR may be used to show evidence of personal history, schools attended, and state test scores. This record is generally used for purposes of identification.

Cumulative Record - The cumulative record, or transcript, contains classes taken in grades 9-12, grades, grade point average, and date of graduation. This record is used by most employers and institutions of higher learning for graduation verification.

ACT Scores - If you request your scores and they are not on your transcripts, please reach out to ACT directly (319) 337-1313.

Permanent Individual Record (PIR)

Cumulative Record

ACT Scores

Please send my records to:*

Please send my records to:

Electronic Signature*

Send me a copy of my responses

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