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FORNEW .BEAVER PUBIJC SCHOOL

STUDENTS

Office of Guidance & Counseling P.O. Box 476 Beaver, Oklahoma 73932 TelePhon e ( 580) 625-3,,444 Fax (580)e25-3690 or (580)52s'3232

ONLY !!!

REQU"EST FOR CUMUT-ATrVE RECORDS

TO:

fhi followlng student(sfhave LAST NAME

enrolled ln our school:

FIRST NAME

DATE OF BIRTH

MIDDLE

whlch applles: Pleasa send all of tha following data 1. Standardlzed test data df grades);: ;.h"Fdi" a.frl"u"-ent data (transcrlpt i. X.aftft records limmunlzatlon and sports physicals) 4. PsYchologlcal data 5, Spldal EducaUon records 6. Speech records

7. Tltle I iecords 8. Occupatlonat TheraPY reco.rds 9. Other

are being passed from publlc school to is not.necessary for pargnts.tgplgn a'release when'records Part fI'HFW-Prlvacy Rlghts of tg76' !7, June Thurcday, publc schoot. Xote ieieril negister' #L1.g.24673' 41, Col' records' educatlon on F"r"nt" and Students. Finat rule

It

Date

School RePresentaHve Send

to:

Beaver Publlc Schools P.O. Box 476 Beaverr Oklahoma 73932 c/o Reglstrar

School Phone: (s8o)625-3444 Fax

# (580)625-3690 or (580)62s'3232