Alumni Transcript Request | Northside ISD Student Records Requests

A physical address will be required during ordering process but ALL TRANSCRIPTS WILL BE DELIVERED ELECTRONICALLY!

This is an official request for a student record. The information contained in this request should be considered private. The information required on this page is necessary to verify and protect your school record from being accessed by unauthorized individuals.

Name While Attending School:

Last Name: ^{(in school)}

First Name:

Middle Name:

Maiden Name:

Suffix:

Last 4 SSN:

Last 4 SSN: ^(confirm)

Student ID:

Information Related To Your Birth:

Date of Birth:

Current Age:

Birth City:

Birth State:

Birth Country:

Your Last Northside ISD School of Attendance:

Name of School :

Last Year Enrolled:

Did you graduate?

Yes No

Current Name / Requester Name:

Last Name: ^{(official id)}

First Name:

Middle Name:

Maiden Name:

Suffix:

Current Residence Address: ^{(this may be different than the mailing address)}

Address Line 1:

Address Line 2:

City:

State: ^(region)

Zip Code: ^{(postal code)}

Country:

^{Mailing Address Different:}

Yes No

Current Mailing Address: ^{(if different from residence address)}

Address Line 1:

Address Line 2:

City:

State: ^(region)

Zip Code: ^{(postal code)}

Country:

Telephone Number: ^{(###-###-####)}

^Primary:

^Cell:

Updates via Text Message?

Yes No

Driver's License: ^{(or other State Issued ID)}

^{ID Number:}

^{Issuing State:}

Email:

^Address:

Special Instructions :

Documents Will Be Delivered To: ^{please enter the delivery addresses}

	Name	Attention	Addr 1	Addr 2	City	State	Zip	Country	# of Copies

Common Application Number: ^{(the identifier provided by 'www.commonapp.org')}

^{Common Application Number:}

NCAA Application Number: ^{(the identifier provided by 'www.ncaa.org')}

^{NCAA Application Number:}

Reason(s) for Request of Student Record:

Employment College Other Military Enlistment

Select The Information Type(s) Requested:

High School Transcript ^{( $5.00 ea. + $5.00 copy )} Graduation Verification Letter ^{( $5.00 ea. + $5.00 copy )} Immunizations ^{( $5.00 ea. + $5.00 copy )} Proof of Enrollment ^{( $5.00 ea. + $5.00 copy )}

Total Fee:

AUTHORIZATION NOTIFICATION:

My initials below constitute an electronic signature and authorizes Northside Independent School District to release information and / or my student record and confirms I have completed all sections accurately and truthfully, including information verifying my identity. I understand that the recipient of the record(s) will use the indicated documents(s) for legitimate interests only and that the information contained therein shall not be further transferred or communicated to any other part or agency without my expressed written consent except under authority of Public Law 93-380, Educational Rights and Privacy Act.

I have enclosed the correct fees and understand that they are nonrefundable. I understand that an incomplete form will not be processed and will be considered closed after expiration of the 30 day notification window. I declare under penalty of perjury that the foregoing is true and correct.

Coupon Code:

Your Initials:

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Online Student Records Request Step 1, Please Enter All Information