School District Elementary
Resume:
NORTHAMPTON AREA SCHOOL DISTRICT
REQUEST FOR RECORDS
This is to certify that the following student has entered the Northampton Area School District on Click here to enter an Enrollment Date.
Student’s Name:
Type Student’s Name
Birthdate:
Type Student’s Birthdate
Student’s New Address:
Type Student’s New Address
Type Student’s City, State, and Zip Code
Grade:
Type Student’s Grade Level
Sending School’s Name:
Type School’s Name
Northampton Area School District:
Choose a Building
Sending School’s Address:
Type School Address
Type School City, State, Zip Code
NASD Building Address:
Type School Address
Type School City, State, Zip Code
Please send/transfer the following records
Academic Records (Transcript, Last Report Card)
Test Records (PASA, PSSA, Keystone, etc.)
Chapter 339 – College/Career Readiness Evidence
Attendance Records
Discipline Records
Medical/Health Records
504 Records
Psychological Records (IEP, RR/ER, FBA)
I do hereby authorize the release of all educational, discipline, health, psychological, special education and any other school records to the Northampton Area School District.
Parent/Guardian Name
Building Designee Name
Parent/Guardian Signature
Building Designee Signature
Northampton Borough Elementary School
(includes Franklin and Siegfried Buildings)
1677 Lincoln Avenue
Northampton, PA 18067
Phone: 610-***-****
Fax: 610-***-****
George Wolf Elementary School
300 Allen Street
Bath, PA 18014
Phone: 610-***-****
Fax: 610-***-****
Lehigh Elementary School
800 Blue Mountain Drive
Walnutport, PA 18088
Phone: 610-***-****
Fax: 610-***-****
Moore Elementary School
2835 Mountain View Drive
Bath, PA 18014
Phone: 610-***-****
Fax: 610-***-****
Northampton Area Middle School
1617 Laubach Avenue
Northampton, PA 18067
Phone: 610-***-****
Fax: 610-***-****
Northampton Area High School
1619 Laubach Avenue
Northampton, PA 18067
Phone: 610-***-****
Fax: 610-***-****
Contact this candidate