<p> Brownsville Independent School District</p><p>REQUEST FOR STUDENT RECORDS</p><p>Instructions: Please complete form and return, along with a copy of a driver’s license or photo I.D. via one option listed: Mail to: Martin C. Arambula Email: [email protected] Office Pick Up: BROWNSVILLE I.S.D. Records Management Office Phone: (956) 544-3972/698-0230 4310 E. Morrison Rd. 4310 E. Morrison Rd. Brownsville, TX. 78521 Brownsville, Texas 78521 Fax: (956) 574-6459  Transcript Today’s Date: Full legal name of requestor: (Print) (Married full name) Phone: ( ) License/ID No. State STUDENT INFORMATION Date of birth: Social security number: Name while attending school: Name of B.I.S.D. school last attended: Year student last attended school: Graduated  Yes  No  College   Identification  Social Employment Security What is the record needed for:   Passport  Other (specify) Immigration Type of copy needed:  Official (in a sealed envelope)  Non-official (Only fill out below if you will not be taking the record with you) I hereby authorize Brownsville ISD to  mail ,  fax or  email the transcript to the following: Location: Attn: Address: City/State: Zip Code: Fax #: Email:</p><p>(Only fill out below if someone else will be picking up for you) I hereby authorize the following person to pick up my records. Name: Relationship: Phone # NOTE: Anyone signing this Request Form must provide a copy of a driver’s license or photo I.D.</p><p>▲Signature of student or parent/legal guardian ▲ Date</p><p>FOR OFFICE USE ONLY Location: Processed by: Date:  Faxed  Mailed  Pick up  Emailed  Phone Verify  No record found/memo  Never picked up Date: BISD is an equal opportunity employer, and does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or provisions of services, programs or activities. Brownsville Independent School District</p><p>REQUEST FOR STUDENT RECORDS</p><p>Notified: Notes:</p><p>Instrucciones: Por favor llene esta solicitud y regrésela, con una copia de su licencia de manejar o una identificación con foto., regresar la solicitud a través de las siguientes formas. Mandar a: Martin Arambula Email: [email protected] Office Pick Up: BROWNSVILLE I.S.D. Records Management Office Phone: (956) 544-3972/698-0230 4310 E. Morrison Rd. 4310 E. Morrison Rd. Brownsville, TX. 78521 Brownsville, Texas 78521 Fax: (956) 574-6459  Transcript Fecha: Nombre del solicitante: (Letra de imprenta) (Nombre de casada) Teléfono: ( ) # de licencia/ID Estado INFORMACION DEL ESTUDIANTE Fecha de nacimiento: Numero del Seguro Social: Nombre con el cual estaba inscrito: La ultima escuela que asistió en BISD: El ultimo año que asistió a la escuela: Graduado  Yes  No   Empleo   Seguro Social Colegio Identificación Razon que necesita documentación:   Pasaporte  Otra (especificar) Inmigración Tipo de copia que necesita:  Oficial (en un sobre sellado)  No-oficial (Solamente llene si no lo va llevar con usted) Yo autorizo al Distrito Escolar Independiente de Brownsville que mande por  correo ,  fax o  email la transcripción a la siguiente: Localizacion: Atención a: Dirección: Ciudad/Estado: Codigo Postal: Fax#: Email:</p><p>(Completar solamente si alguna otra persona recogera sus expedientes) Autorizo por este medio a la siguiente persona a recoger mis expedientes. Nombre: Relacion: Telefono: ATENCION: Cualquier persona que firma esta solicitud tiene que acompañarlo con la licencia de manejar o una credencial con foto.</p><p>▲Firma del estudiante o los padres/guardián ▲Fecha</p><p>FOR OFFICE USE ONLY BISD is an equal opportunity employer, and does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or provisions of services, programs or activities. Brownsville Independent School District</p><p>REQUEST FOR STUDENT RECORDS</p><p>Location: Processed by: Date:  Faxed  Mailed  Pick up  Emailed  Phone Verify  No record found/memo  Never picked up Date: Notified: Notes:</p><p>BISD is an equal opportunity employer, and does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or provisions of services, programs or activities.</p>