CCSD Transcript Request Form

This authorizes CSN to request your transcript from CCSD. All fields must be completed in order to process your request

First Name
Middle Name
Last Name
DOB	(MM/DD/YYYY) Enter a valid date
CCSD Student #
NSHE ID
Email Address
Phone number

My initials below constitute an electronic signature and authorizes the Student Record Services department of the Clark County School District to release information and / or my student record(s) and confirms I have completed all sections accurately and truthfully, including information verifying my identity. I understand that the recipient of the record(s) will use the indicated document(s) for legitimate interests only and that the information contained therein shall not be further transferred or communicated to any other party or agency without my expressed written consent except under authority of Public Law 93-380, Educational Rights and Privacy Act (FERPA). I declare under penalty of perjury that the foregoing is true and correct.

Initials

You must enter your initials to submit.

Thank you.

We will process your request.