St. Clare School, 1807 SW Freeman

Portland, OR 97219

503-244-7600, www.stclarepdx.org

REQUEST TO TRANSFER STUDENT RECORDS

Dear Parents,

Please fill out and send the below information to your child's previous school.

___________________________

Name of School

___________________________

Address

___________________________

City, State, Zip

Oregon Revised Statutes allow transfer of student progress records without penalty to any other school or education institution upon receipt of notice of the student enrolling in said institution.

____________________________, a former student in grade __________ of your school has enrolled at St. Clare Elementary School. Please forward student's progress records, educational records, behavioral records, health and immunization records to:

St. Clare School

Student Records

1807 SW Freeman St.

Portland, OR 97219

____________________ _____________

Parent Signature Date