Transcript Release Form | Lake City Public Schools

FROM:

To:

Guidance Office

Independent School District #813

Lake City, MN 55041

(Insert all names and addresses in whom information may be released.)

Please release my school records and activities including, but not limited to specific programs, grades, basic standards testing, graduation standards, class standing, attendance record, achievement, intelligence, aptitude, personality and interest test scores, health records, and other comments and recommendations regarding myself. Send I.E.P. and psychological assessments if in special education. The information being released is to be used by the person or institution to whom it is released to consider me for employment or admission to the above named institution(s). Release will expire twelve (12) months from this date.

Dated:

(Signature of student if 18 years of age)

(Signature of parent if student is a minor)

Contact Info

Superintendent’s Office
(651) 345-2198
300 South Garden Street
Lake City, MN 55041

Lincoln High School
(651) 345-4553
Fax: (651) 345-5894
300 South Garden Street
Lake City, MN 55041

Lincoln Attendance
(651) 345-4472

Bluff View Elementary
(651) 345-4551
Fax: (651) 345-2781
1156 West Lakewood Ave.
Lake City, MN 55041

Bluff View Attendance
(651) 345-4528

Activities Director
(651) 345-2850
300 South Garden Street

Community Education
(651) 345-7170
1156 West Lakewood Ave.

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