Form - Student Records Request

Student Records Request

Please DO NOT include any personally identifiable information, a team member will contact you shortly to obtain necessary information to complete your request.

Your Name Please enter your first and last name.

Requesting Company/Organization Please enter the name of the company or organization affiliated with this request.

Phone Number Please entered your preferred phone number for responses.

Your Email Address Please enter your preferred email address for responses.

Please select ONE of the categories below to describe the nature of your request.

Former Student Verification Are you requesting student records of a previous student who has exited Hope Academy of West Michigan?

MDOC Request Is this request from the Michigan Department of Corrections?

Student Transfer Are you requesting student records to complete a transfer of services?

Student/Parent Request Is this request from the student or parent of the student?

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