STUDENT RECORD RELEASE FORM The below named student ...

STUDENT RECORD RELEASE FORMThe below named student has applied for enrollment at Lincoln Community School. The student’sparent/guardian must sign this form.Name: ___________________________________________________________Current grade: __________Last First MiddleNAME AND ADDRESS OF SCHOOL CURRENTLY ATTENDING:______________________________________________________________________________________________________________________________________________________________________________School phone #: __________________________________ School Fax #: __________________________Date of entry: _____________________________ Date of withdrawal: ____________________________Information to be released (please check):ACADEMIC RECORDS (Including an Official Transcript)MEDICAL RECORDSSPECIAL EDUCATION RECORDSOTHERParent Signature: ____________Parent Signature: ____________Parent Signature: ____________Parent Signature: ____________Please specify:_______________________________________________________________________________________PLEASE PROVIDE THE FOLLOWING INFORMATION FOR STUDENTS ENTERING GRADE 9 - 12a. The date student entered and withdrew from your school: _______________________________b. Reports regarding student’s status/marks in each of his/ her subject at the time of his/her leaving.(over)

c. An indication as to whether or not student completed the term she/he was attendingat the time of his/her withdrawal from your school. If not, how much time was remaining in theterm?_____________________________________________________________________________________________________________________________________________________________d. An explanation of your grading system. Please be clear about what is a failing mark at yourschool._____________________________________________________________________________________________________________________________________________________________e. The number of sessions per week for each subject the student took and the length of time for eachsession. If all subjects met for a uniform length of time, a subject-by-subject accounting is notrequested.____________________________________________________________________________________________________________________________________________________________f. The number of weeks in your school year and an explanation of your yearly grading terms.(For example, do you have two, three or four terms? How many weeks are in each term?)______________________________________________________________________________________________________________________________________________________________g. Are there term grades and exam grades? If so, what weight does each carry in the finalcalculation of a subject grade?_______________________________________________________________________________________________________________________________________________________________PLEASE MAIL AND FAX RECORDS TO:THE REGISTRARLINCOLN COMMUNITY SCHOOLC/O AMERICAN EMBASSYP.O. BOX 194ACCRAGHANAFax to: Registrar, +233 21 780985