Student Records Request

Online Higher Ed Information Request Step 1, Please Enter All Information

This is an official request for a copy of a student record. The information contained in this request should be considered private. Please complete all information in full and then finalize the order process by clicking 'Proceed to Check Out'.  The information required on this page is necessary to verify and protect your school record from being accessed by unauthorized individuals.  

 

PLEASE NOTE:  A signed release by the student is required for a High School Transcript unless you are a post-secondary institution.  Education verifications do not require a signed release.  The signed release may be uploaded via the Order Tracker.  

 

You will receive emails from scribOnline@scribsoft.com to notify you of the status of your order.  It is important you read those emails carefully as additional information may be required to process your request.  We may respond to this corporate request by the medium of our choosing (email, mail, or fax).  You will be notified of the delivery mechanism by email.  Status can be checked via the 'Order Tracker'. 

 

ACCESSING THE ORDER TRACKER:  Once the order has been submitted and payment received, you will be directed to a confirmation page which contains the link to the Order Tracker.  You will also receive a link to the Order Tracker via email from scribonline@scribsoft.com.  To access the Order Tracker, you will enter your email address, order number and password. 

Higher Ed Requestor Information:

Admissions Address:

Admissions Telephone: (###-###-####)


Email:

Student's Name While Attending School:

Information Related To Student's Birth:

Student's Last Dayton City School of Attendance:

Student Current Name:

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

Student's Current Mailing Address: (if different from residence address)

Documents Will Be Delivered To: please enter the delivery addresses
Name Attention Addr 1 Addr 2 City State Zip Country # of Copies



Reason(s) for Request of Student Record:


Select The Information Type(s) Requested:


Total Fee:
$0
AUTHORIZATION NOTIFICATION:

I hereby certify and verify that my corporation has expressed written consent to release information from the former student of Dayton Public Schools for which this request is made. I understand that the recipient of the record(s) will use said 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 the expressed written consent of the former student except under authority of Public Law 93-380, Educational Rights and Privacy Act. By clicking 'Proceed to Checkout', I certify this information as complete and accurate.

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.

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