Records Request Form

Please complete the form below to request student records. Required fields marked with an asterisk *

Student Full Name (First, Middle, Last)*

Answer Required

Student Social Security Number*

Answer Required

Student Date of Birth*

Answer Required

Student Contact Information

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Primary Phone*

Answer Required

Alternate Phone

Answer Required

Your relationship to the student.*

Answer Required

Self

Parent or Guardian

Other:

If you are requesting student records on behalf of the student as a third party, you must upload documents authorizing you to request records on the student's behalf.

Answer Required

Choose a file or drag it here.

Last Date Attended*

Answer Required

Campus location attended.*

Answer Required

Downtown Campus

East Campus

West Campus

Did student graduate from Invictus High School?*

Answer Required

Yes

Date of graduation

Answer Required

Documents Requested*

Answer Required

Transcript

IEP/ETR/504 Plan

Copy of Diploma

Immunization Record

Birth Certificate

Social Security Card

Proof of Enrollment

Reason for request*

Answer Required

Transfer to new school

College/Trade school

Military

Other (If selected, please detail below)

Other purpose for record request

Answer Required

Address/Fax number where records should be sent (if in person, type n/a)*

Answer Required

Records requests may take 3-5 business days to process requested documents. In some cases, additional time may be required.

Please fix the highlighted areas below before submitting.

Records Request Form