Request Service Records

Service Records Request

This form is used to request Service Records from the Human Resources Services Department. Please fill out and submit.

Contact Information

Full Name *






Please select your current or last position worked*
 Administrative (Principal, Assistant Principal, Counselor, Non-Campus Administrator, etc.)
 Certified (Teacher, Librarian, Nurse, etc.)
 Paraprofessional (Ed Assistant, Administrative Assistant, etc.)
 Auxiliary (Food Service, Custodian, Mainteance, Transportation, etc.)

Please indicate the type of record you are requesting. *
 Service Record
 Certificate
 Official Transcript
 Other: 

How do you want to receive the document(s)? Please select one.*
 Postal Mail (please provide address in comments below)
 Pick-up
 Email (please provide email address in comments below)
 Fax (Please provide Fax # in comments below)

Confirmation Email*
Enter your email address here if you'd like to receive a confirmation upon submitting the form.



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