Electronic Request for School Records

Electronic Request for School Records

Thank you for your interest in obtaining a transcript from Jefferson County Schools.  Please note that a $5.00 fee is required for each copy of your transcript.  Payment may be made via cash, check, or money order (made payable to Jefferson County Schools) and submitted to:

Jefferson County Schools

110 Mordington Avenue

Charles Town, WV  25414

ATTN: Sue Buchanan

 

I hereby authorize Jefferson County Schools to release school records or other confidential information to include (please check all that apply):

Transcript of grades from credited courses

Health Records

Discipline Records

Attendance

 

Jefferson County Central Office does not include ACT/SAT scores in fulfilling request for students' school records.  Request for ACT/SAT scores must be made directly to the College Board SAT program or ACT registration.

 

To request official scores you need to contact the following:

The College Board SAT Program

P.O. Box 025505

Miami, FL  33102

(866) 756-7346

SAT@info.collegeboard.org

 

ACT Registration

P.O. Box 414

Iowa City, IA 52243-0414

(319) 337-1313

www.actstudent.org

 

Basic Student Information for Obtaining a Transcript

NAME

STUDENT WVEIS ID#

YEAR OF GRADUATION:

DATE OF BIRTH: (mm/dd/yy)

You may pick up your transcript in person at the Jefferson County Board of Education after your request and payment have been received.  If you wish to have your transcript sent directly to another organization, please indicate below the name and address of that organization.  For questions, please call Sue Buchanan at 304-728-9249.

 

Electronic Signature:  by typing my full name in the field below, I acknowledge that I am the person whose name appears on this request (or their legal guardian) and that the form has been filled out truthfully and to the best of my ability.

Student E-Signature:

Today's Date: (mm/dd/yy)

Parent E-Signature (if minor):

Today's Date: (mm/dd/yy)

 

Social Security Number (not mandatory): 

The privacy act of 1974 (PL93-579) provides that any federal, state, or local government agency which asks an individual to discolose his or her social security number (SSN) must inform the number holder of the following:

1. This disclosure is voluntary

2. There is no statute or authority which authorizes the solicitation of this information (SSN).

3. This number is being requested because most colleges and universities require the student's SSN be part of the student's transcript.

4. Should you choose not to provide your SSN for this purpose, your transcript may not be accepted as valid by the college or university to which it is sent.

5. This number is solicited for inclusion on your transcript and will be used for no other purpose.


 

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