Student Records Request Form

Required

Please complete the following information to initiate your student record request.

After you complete this form, an MESD representative will contact you within 10 school days for identification and/or a copy of a signed release of information before releasing any records.

Point of Contact - Namerequired

First Name

Last Name

Email (for contact person)

Phone Number (for contact person)required

Mailing address (for contact person)

Relationship to Studentrequired

I am the student

I am the parent or legal guardian

I represent a school or program

I work for a background check organization

I am an employer

Other (please describe in the 'Other Information' section at the bottom of this form)

Student's Namerequired

First Name

Other Names (optional)

Last Name

Students' Date of Birthrequired

(Must contain a date in M/D/YYYY format)

Student Enrollment Years

Which MESD school or program did the student attend?required

Other information

Note: MESD does not have access to records at our component districts. Please use the links below to request records directly:

Centennial / Corbett / David Douglas / Gresham Barlow / Parkrose / Portland Public / Reynolds / Riverdale

Not sure what district or school your student attended? Find your school district and local school here.

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Student Records Request Form

Please complete the following information to initiate your student record request.

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