Student Records Request

For Schools & Authorized Educational Institutions

Request Records for a Former BCS Student

If a student has transferred from Bethany Christian School and your school needs a copy of the student's educational records, please complete the form below. Please provide accurate information so that we can locate the student's records and process your request.

Student Information

Student First Name *

Student Middle Name

Student Last Name *

Date of Birth *

Grade Attended at Bethany

Last School Year Attended

Requesting School Information

School Name *

Requester's Name *

Title / Position *

School Phone *

School Email *

School Mailing Address *

City *

State & ZIP Code *

Where Should Records Be Sent?

Records Delivery Email *

Records Requested

Complete Cumulative Record

Transcript / Academic Record

Report Cards

Attendance Records

Testing Records

Other Records

Additional Information

Please provide any additional information or special instructions.

Request Certification

This form is intended for authorized representatives of schools and educational institutions requesting records for a student who previously attended Bethany Christian School.

I certify that I am an authorized representative of the requesting school or educational institution and that this request is being made for legitimate educational purposes. *