Education Verification Request | Sunflower County Consolidated School District Online Student Records Requests

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 a school record from being accessed by unauthorized individuals.

PLEASE NOTE: A SIGNED RELEASE BY THE STUDENT IS REQUIRED FOR A HIGH SCHOOL TRANSCRIPT OR GRADUATION VERIFICATION (unless you are a post-secondary institution).

For Corporate Only

The signed release may be uploaded during the Request Process prior to submitting your your order or via the Order Tracker after submission.

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 phone). 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 that 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 and order number.

Corporate Requestor Information:

Corporate Name: ^(legal)

Federal Tax ID:

Business Client Name:

Internal Tracking ID:

Contact Name:

Corporate Address:

Address Line 1:

Address Line 2:

City:

State: ^(region)

Zip Code: ^{(postal code)}

Country:

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

^Primary:

^Cell:

Updates via Text Message?

Yes No

Email:

^Address:

^Confirm:

Please attach student authorization

Please upload any required documentation within 5 business days. Click here ONLY if you are completing this requirement later. By clicking here, you understand that failure to complete this step will result in the cancellation of your order.

Colleges & Universities	This step is not necessary.
Corporate & Other Agencies	Attach signed Student Authorization (Required for Corporate & Other Agencies) by clicking on the green Add Files button. A PHOTO ID IS NOT NECESSARY. If you click above to complete later, you agree to upload the signed Release Document to the Order Tracker. Instructions on accessing the Order Tracker were sent in the order confirmation email.

Add files...

Student's 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 Student's Birth:

Date of Birth:

Current Age:

Student's Last Sunflower County School of Attendance:

Name of School :

Last Year Enrolled:

Did they graduate?

Yes No

Student Address While Attending School:

Address Line 1:

Address Line 2:

City:

State: ^(region)

Zip Code: ^{(postal code)}

Country:

Student Current Name:

Last Name: ^{(official id)}

First Name:

Middle Name:

Maiden Name:

Suffix:

Student's 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

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

Address Line 1:

Address Line 2:

City:

State: ^(region)

Zip Code: ^{(postal code)}

Country:

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

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

Special Instructions :

Reason(s) for Request of Student Record:

Employment

College

Identification

Birth Certificate

Immigration

Other

Select The Information Type(s) Requested:

Official High School Transcript

( $10.00 ea. + $10.00 copy )

Graduation Verification

( $20.00 ea. + $20.00 copy )

Total Fee:

AUTHORIZATION NOTIFICATION:

My initials below constitute an electronic signature and authorize The College Preparatory and Leadership Academy to release information and/or my student record and confirm 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 the authority of Public Law 93-380, Educational Rights and Privacy Act.

I have enclosed the correct fees and understand that they are non-refundable. I declare under penalty of perjury that the preceding is true and correct.

Coupon Code:

Your Initials:

Pay by Money Order

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Online Corporate Information Request Step 1, Please Enter All Information