Douglass Public School

Please complete and submit the following form to request a transcript or school records. Allow 24 hours from the time of the request to complete the transcript/records request. If the student is over 18 years of age, the request for transcripts or school records may only be made by the student. For additional information please call our registrar at (316) 747-3310.

***Douglass Public Schools comply with the FERPA and HIPPA Privacy Acts.***

Please Fill Out The Transcript/School Records Request Form Below

Full Legal Name

Maiden or any other name used while in attendance.

Date of Birth

Daytime Phone Number

E-Mail Address

Date of Graduation OR Last date attended Douglass Schools?

Requesting Information: (check all that apply)

Reaquired field: Transcript (official)

Reaquired field: Transcript (copy)

Reaquired field: ACT Scores

Reaquired field: Other

Receiving Records

Reaquired field: I will pick up my records

Reaquired field: Please mail my records

Reaquired field: Please fax my records

If Fax requested, Fax Number:

If request to be mailed name of recipient:

If requesting records be mailed, please enter mailing address below.

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

If requesting records to be faxed, please enter fax number below

Email a copy to

optional

Required Fields

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