REQUEST FOR PUPIL RECORDS
REQUEST FOR PUPIL RECORDS Please release and send pupil records for: Student’s Last Name Birth Date __________________
First Name
Middle Name
has enrolled in Grade _____ in Goddard USD 265.
Please include the following records: Transcript of Grades/Credits
Immunization Records
Test Records
Withdrawal Grades
State Assessment Scores
Health Records
Special Ed Placement (including Psychological, Educational, Medical, Social History, if applicable) ESOL Records Other __________________________________________________________________________________
PLEASE SEND REQUESTED RECORDS TO:
Amelia Earhart Elementary School, PO Box 319, Goddard, KS 67052 Phone: 316.794.4080 Fax: 316.794.4062
Apollo Elementary School, PO Box 159, Goddard, KS 67052 Phone: 316.794.4090 Fax: 316.794.4091
Clark Davidson Elementary School, PO Box 278, Goddard, KS 67052 Phone: 316.794.4260 Fax: 316.794.4280
Explorer Elementary School, PO Box 217, Goddard, KS 67052 Phone: 316.794.4181 Fax: 316.794.4182
Oak Street Elementary School, PO Box 188, Goddard, KS 67052 Phone: 316.794.4200 Fax: 316.794.4220
Challenger Intermediate School, PO Box 277, Goddard, KS 67052 Phone: 316.794.4040 Fax: 316.794.4266
Discovery Intermediate School, PO Box 248, Goddard, KS 67052 Phone: 316.794.4030 Fax: 316.794.4064
Eisenhower Middle School, PO Box 349, Goddard, KS 67052 Phone: 316.794.4150 Fax: 316.794.4063
Goddard Middle School, PO Box 279, Goddard, KS 67052 Phone: 316.794.4230 Fax: 316.794.4254
Eisenhower High School, PO Box 789, Goddard, KS 67052 Phone: 316.794.4190 Fax: 316.794.4191
Goddard High School, PO Box 189, Goddard, KS 67052 Phone: 316.794.4100 Fax: 316.794.4130
Goddard Academy, PO Box 318, Goddard, KS 67052 Phone: 316.794.4142 Fax: 316.794.4143
Previous School ___________________________________________________________________________________ School Address ________________________________________ City _________________ State _______ Zip _______ Signature of Parent/Guardian _________________________________________________ Date __________________ Current Address _______________________________________ City _________________ State _______ Zip _______ Rev. 8/2012
First Name
Middle Name
has enrolled in Grade _____ in Goddard USD 265.
Please include the following records: Transcript of Grades/Credits
Immunization Records
Test Records
Withdrawal Grades
State Assessment Scores
Health Records
Special Ed Placement (including Psychological, Educational, Medical, Social History, if applicable) ESOL Records Other __________________________________________________________________________________
PLEASE SEND REQUESTED RECORDS TO:
Amelia Earhart Elementary School, PO Box 319, Goddard, KS 67052 Phone: 316.794.4080 Fax: 316.794.4062
Apollo Elementary School, PO Box 159, Goddard, KS 67052 Phone: 316.794.4090 Fax: 316.794.4091
Clark Davidson Elementary School, PO Box 278, Goddard, KS 67052 Phone: 316.794.4260 Fax: 316.794.4280
Explorer Elementary School, PO Box 217, Goddard, KS 67052 Phone: 316.794.4181 Fax: 316.794.4182
Oak Street Elementary School, PO Box 188, Goddard, KS 67052 Phone: 316.794.4200 Fax: 316.794.4220
Challenger Intermediate School, PO Box 277, Goddard, KS 67052 Phone: 316.794.4040 Fax: 316.794.4266
Discovery Intermediate School, PO Box 248, Goddard, KS 67052 Phone: 316.794.4030 Fax: 316.794.4064
Eisenhower Middle School, PO Box 349, Goddard, KS 67052 Phone: 316.794.4150 Fax: 316.794.4063
Goddard Middle School, PO Box 279, Goddard, KS 67052 Phone: 316.794.4230 Fax: 316.794.4254
Eisenhower High School, PO Box 789, Goddard, KS 67052 Phone: 316.794.4190 Fax: 316.794.4191
Goddard High School, PO Box 189, Goddard, KS 67052 Phone: 316.794.4100 Fax: 316.794.4130
Goddard Academy, PO Box 318, Goddard, KS 67052 Phone: 316.794.4142 Fax: 316.794.4143
Previous School ___________________________________________________________________________________ School Address ________________________________________ City _________________ State _______ Zip _______ Signature of Parent/Guardian _________________________________________________ Date __________________ Current Address _______________________________________ City _________________ State _______ Zip _______ Rev. 8/2012
