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Juvenile Court and Community Schools
Individual Request
Requestor Information
First Name
Last Name
Date of Birth
Alternate Last Name
Did you graduate from a Juvenile Court and Community School?
Year Graduated
JCCS School Name
Last Year Attended at a Juvenile Court and Community School
Contact Information
Email Address
Phone Number
Format as (858)292-0000 ext1234
Mailing Address
City
State
Zip Code
Where Should the Record Information be Sent
School or Program Name
Fax Number
Send To Address
City
State
Zip Code
Additional Request Information
Please choose at least one check box:
Requesting Official Transcripts
Requesting Immunization Records
Requesting Attendance Information
Requesting High School Diploma
Requesting Other Information
What are you requesting?
Purpose For Request
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