Request for Records or Transcript All of the schools listed here are either accredited Student’s Name: by or pursuing accreditation through the Northwest Association of Independent Schools Date of Birth: (NWAIS). Each of us shares a commitment to In compliance with the “Family Education Rights and Privacy Act of 1974,” I a strong academic curriculum in a supportive respectfully request that you send all confidential and cumulative records to the atmosphere, and we all seek a student body schools marked below. Further, I hereby give permission for you to release the representative of the diverse populations in the school records listed to the schools I have applied to through ORCAS Mosaic, and Seattle and Tacoma areas. In addition, we all to Ravenna Solutions as provider of these school’s application processing service. have need-based financial aid programs. With Schools receiving these records use them for the purpose of evaluating applicants for this in mind, we share a common evaluation admission to their school. form in order to assess candidates for admission to our respective institutions. Any school Parent/Guardian Signature: receiving this form may, at the family’s request, send it to the admissions office of another Printed Name: participating school. Parents/Guardians: • Fill in your child’s name, date of birth, Participating schools that and sign this form to authorize your prefer digital versions of this Participating schools current school to release records. form: accepting hardcopy forms: • Mark the participating schools you wish to receive records. Annie Wright Schools The Bear Creek School The Bear Creek School Bertschi School Registrar: * Bertschi School Bright Water School Eastside Catholic School Thank you in advance for helping us get to * Billings Middle School know this applicant. Bright Water School Eton School • Please complete the Registrar’s Eastside Catholic School Explorer West Middle School information section: * Epiphany School Forest Ridge School of the Sacred Heart Name of School: Eton School French American School of Puget Sound Explorer West Middle School The Lake and Park School * Forest Ridge School of the Sacred Heart The Perkins School Printed Name of Registrar: French American School of Puget Sound The Northwest School * The Jewish Day School Seattle Country Day School Contact Information: The Lake and Park School Soundview School phone: * Lake Washington Girls Middle School Spruce Street School e-mail: * Open Window School University Child Development School • Submit the following to each school The Perkins School Westside School marked in the list: Seattle Country Day School 1. Progress Reports or Report Cards * Seattle Girls School from the current academic year. * Seattle Waldorf School 2. Progress Reports or Report Cards Spruce Street School from the previous two academic University Child Development School years, if applicable. Westside School 3. Attendance records. 4. Results of Standardized testing. Has this student had any disciplinary issues at your school? Yes No *schools accepting uploaded school records through ORCAS Mosaic.