Current Student Records Request Step 1, Please Enter All Information

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.

Student's Current Name:


Information Related To Student's Birth:


Your Current Northside ISD School of Attendance:


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


Current Mailing Address: (if different from residence address)


Telephone Number: (###-###-####)


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


Email:


Please Create A Password: (you can use this to track progress, and we may need to contact you during the process)




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')


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


Reason(s) for Request of Student Record:


Select The Information Type(s) Requested:


Total Fee:

$0

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.

Please enter your e-Signature

This field is required.


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