Student Records Request

Online Higher Ed Information Request Step 1, Please Enter All Information

This is an official request for a copy of a student record. The information contained in this request should be considered private. Please complete all information in full and then finalize the order process by clicking 'Proceed to Check Out'. The information required on this page is necessary to verify and protect your school record from being accessed by unauthorized individuals.

 

Important Information:  

  • A signed release by the student is required for all Student Records Requests. The signed release may be uploaded below or via the Order Tracker.
  • Be sure to include the name of the student while attending High School.
Higher Ed Requestor Information:

Admissions Address:

Admissions Telephone: (###-###-####)


Email:

Please attach student authorization
Please upload any required documentation within 5 business days. Click here ONLY if you are completing this requirement later. By clicking here, you understand that failure to complete this step will result in the cancellation of your order.
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Student's Name While Attending School:

Information Related To Student's Birth:

Student's Last Hawaii State DOE School of Attendance:

Student Current Name:

Student's Current Residence Address: (this may be different than the mailing address)

Student's Current Mailing Address: (if different from residence address)

Documents Will Be Delivered To: please enter the delivery addresses
Name Attention Addr 1 Addr 2 City State Zip Country # of Copies



Reason(s) for Request of Student Record:


Select The Information Type(s) Requested:


Total Fee:
$0
AUTHORIZATION NOTIFICATION:

I hereby certify and verify that my corporation has expressed written consent to release information from the former student of the Hawaiʻi State Department of Education for which this request is made. I understand that the recipient of the record(s) will use said documents(s) for legitimate interests only and that the information contained therein shall not be further transferred or communicated to any other part or agency without the expressed written consent of the former student except under the authority of Public Law 93-380, Educational Rights and Privacy Act. By clicking 'Proceed to Checkout', I certify this information as complete and accurate.

I have enclosed the correct fees and understand that they are non-refundable. I understand that an incomplete form will not be processed and will be considered closed after the expiration of the 30-day notification window. I declare under penalty of perjury that the preceding is true and correct. 

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