RELEASE WAIVER OF STUDENT RECORDS 

PLEASE RELEASE THE STUDENT RECORDS OF:


___________________________________________________________________________________
Last Name                              First Name                             M.I.                                                Maiden

 ___________________________________________________________________________________
Date of Birth                          Year Graduated                                                                         Last Grade Attended

Nick Name:_____________________________                Phone Number___________________________

School attended if not Gainesville High:_____________________________________________________ 

To the following upon request:

_______________Another School                                                        ______________Scholarship Funds

______________ Prospective Employer                                             ______________College/University

_______________Vo-Tech School                                                        ______________Military

_______________Other (Specify)  ______________________

 
______________________________________________                       ___________________
Student Signature                                                                                              Date 

 

______________________________________________                       ____________________
Signature of Parent/Guardian (if student is under 18)                              Date
 

      Mail Transcript (please see below)                                  Date Paid_____________________

       Pick Up                                                                                   Date Mailed___________________   

 

Important Information:

*There is a $3.00 fee for procession transcripts 72 Hours

*There is a $10.00 fee for same day service:  request due before 12:00 Noon

*We accept cash in the correct change, check or money order.

*Please send this completed form with $3.00 check or money order to:
Transcript Request, Gainesville City Schools, 508 Oak Street, Gainesville, GA  30501

 Address Where Transcript Needs to be Mailed:

__________________________________________________________________________________________
Name of Establishment                         Street Address                      City                               State                        Zip