Records Request Form

Welcome to Peterson-Warren Academy, home of the Mustangs!! The entire administration, faculty and staff are available to help each student have a successful and meaningful educational experience.

For us to properly assess your student’s academic progress, we must have access to his/her school records. Please sign this form and return it to the office as soon as possible. This will help to eliminate any delays in your child’s educational progress.

Sincerely,

Records Office

Record Request Form

Comments

This field is for validation purposes and should be left unchanged.

I hereby authorize (name of last school attended)*

Previous School Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

To transfer the contents of (Student Full Name)*

First Last

Permanent record to:

Peterson-Warren Academy P.O. Box 888 Inkster, MI 48141 Attn: Records Secretary

Parent/Guardian Signature*

First Last

Date*