Student Record Transmittal

Confidential

INSTRUCTIONS:  Complete this form and staple it to the front of the student’s original confidential record. Forward the entire original student record (see list below) to the Central Placement Unit, CESC, Room 216.

o Referral Checklist
o Student’s Cumulative Folder
o Student’s Confidential Folder with this completed form stapled to the front of the folder
o Student’s Health Folder

Student Record Transmittal Confidential

65 K

English

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