The CMS Student Form serves as a comprehensive request tool for the transfer and retrieval of student records within the Charlotte Mecklenburg Schools system. Aimed at ensuring a smooth transition for students moving between schools, this document encapsulates a detailed request for various educational and personal records. It necessitates the inclusion of multiple key pieces of information such as student identification, dates of request, and the specific nature of records sought – ranging from academic transcripts, immunization and health records, discipline and legal documentation, to Individual Education Plans (IEPs) and 504 Plans. Importantly, the form also underscores the adherence to North Carolina law regarding the timely transfer of immunization records and the implications of non-compliance. Moreover, it touches on the policy shift regarding parental consent for the release of records, reflecting federal regulations. Outlined in a structured manner, each section of the form aims to facilitate the straightforward collection and transfer of records, thereby supporting the educational pathway of students within the district.
| Question | Answer |
|---|---|
| Form Name | Cms Student Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | CMS, cms student form, cms records request, cms student records |
Request 1 Date |
_____________________________ |
Request 2 Date |
_____________________________ |
Request 3 Date |
_____________________________ |
Student Records Request
Charlotte Mecklenburg Schools Student Records Request
CMS Student Records Department
700 East Stonewall Street, Suite 706, Charlotte, NC 28202
Email: StudentRecords@cms.k12.nc.us Phone:
Send requested records to: |
|
|
School/Department Name: |
___________________________________________ |
CMS Courier #: _______ |
To the Attention of: __________________________________________________________________________
Requestor’s Email Address: _____________________________________________________________________
School Address: __________________________________________________________________________
School Fax Number: __________________________________________________
School Phone Number: _________________________________________________
Requesting records from:
School Name: |
_____________________________________________________ |
Attention: |
_____________________________________________________ |
Fax Number: |
_____________________________________________________ |
Charlotte Mecklenburg Schools is requesting the following Student Data/Records:
•Formal Withdrawal/Transfer Form including the most current average for each course in which the student is enrolled (numerical & letter grade with grading scale)
•Send most recent Transcript (High Schools Only)
•Student’s Birth Certificate and all Immunization & Health Records (required to have the doctor’s/official copy of birth certificate and immunization records)
•All Discipline Records to date including any arrest records, juvenile arrests, or referrals to juvenile detention
•All legal documentation including the most current custody/guardianship documentation
•ALL Report Cards, including the most current quarterly report card
•ALL Test Scores, including but not limited to State Testing, End of Grade and End of Course testing, etc.
•ESL (English as a Second Language) Evaluations, Testing, and documentation
•All Individual Education Plan (IEP) documentation and accommodations to date including all IEP Service Evaluations and all Psychological Evaluations
•504 Plan, please include all documents to date
•Advanced Placement or Academically Gifted program documentation and testing results
It is North Carolina law that Immunization Records are sent/received 30 days after enrollment.
Students are subject to suspension/exclusion if immunizations are not received and in compliance by the 30th day after enrollment.
Student’s Information |
|
|
|
Student’s Name: |
__________________________________________________________________________ |
||
|
Last Name |
First Name |
Middle Name |
Student’s Date of Birth: |
_________________________________ |
Current Grade Level: ________ |
|
Current NC ID Number: |
_________________________________ |
|
|
Historical NC ID Number: |
_________________________________ |
AIS BOX#:_________ (CMS Only) |
|
I consent for the above named school to release my child’s school records and any legal documents to
__________________________________
Parent/Guardian Signature
Parental permission is no longer required when authorized school personnel require records (Family Educational Rights and Privacy Act, Final Rule on Educational
Records, Federal Register, June 17, 1976, Vol. 41, No. 118, Page 24673)
REV: 08/14/14