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Records Request/Transcripts

Which school did your student attend last year?

Granger High School

Granite Park Junior High

Valley Junior High

West Lake STEM Junior High

Other

Has the student ever been enrolled in Granite District?(Required)

Yes

No

Granite District school most recently attended:

Was this the last school you attended?

Yes

No

Last year attending that school:

Name of Previous School

Address of Previous School

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous School Email (If Known)

Previous School Phone

Previous School Fax

Student's Legal Name(Required)

First Middle Last

Student Gender(Required)

Male

Female

Student's Birthdate(Required)

Month

Day

Year

Student Number:

This is often referred to as the student’s “9 number.” It’s a 7-digit number that begins with a 9.

Race/Ethnicity

Is this student Hispanic/Latino?

Yes

No

Which of the following groups describe the student's race?

Asian

Black

Caucasian

Native American

Pacific Islander

Native American Tribal Information

Goshute

Navajo

Paiute

Northwest Band Shoshone

Ute

Other

General Information:

Student's Home(Required)

Street Address City ZIP Code

Home Phone

Does this student reside in a single parent home?

Yes

No

Does the student have healthcare needs?

Yes

No

List special needs:

Has the student received special ed/504 services?

Yes

No

What was the first language the student learned to speak?(Required)

English

Spanish

Other

What is the language spoken most often by the student?(Required)

English

Spanish

Other

What is the language most often spoken in the home?(Required)

English

Spanish

Other

What language do you prefer for school home communication?(Required)

English

Spanish

Other

PARENT/GUARDIAN NAME(S) AND ADDITIONAL CONTACTS

Parent/Guardian Name #1

Relation

Lives With

Yes

No

Release (Can the student be checked out by this individual?)

Yes

No

Home Phone

Work Phone

Cell Phone

Parent/Guardian Name #2

Relation

Lives With

Yes

No

Release (Can the student be checked out by this individual?)

Yes

No

Home Phone

Work Phone

Cell Phone

Parent/Guardian Name #3

Relation

Lives With

Yes

No

Release (Can the student be checked out by this individual?)

Yes

No

Home Phone

Work Phone

Cell Phone

PERSON TO CALL IN EMERGENCY WHEN PARENT CANNOT BE REACHED

Name of Emergency Contact #1

First Last

Home Phone

Work Phone

Cell Phone

Name of Emergency Contact #2

First Last

Home Phone

Work Phone

Cell Phone

Name of Emergency Contact #3

First Last

Home Phone

Work Phone

Cell Phone

Siblings in District

Sibling Name

Birth Date

Month

Day

Year

Sibling Name

Birth Date

Month

Day

Year

Sibling Name

Birth Date

Month

Day

Year

Sibling Name

Birth Date

Month

Day

Year

Sibling Name

Birth Date

Month

Day

Year

Final Section

Parent/Guardian Signature(Required)

Please type your name to indicate the information on this form is accurate.

Email(Required)

This email address will be used to send your student’s class schedule.

School Programs

Looking for a resource? Checkout the Parent Resource Guide.

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Email Address

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Granger High School

3580 S. 3600 W,

,

West Valley City, UT 84119

Main: (385) 646-5320

Attendance: (385) 646-5337

Career Center: (385) 646-5324

Counseling Center: (385) 646-5321

Contact By Email

Schedule A Tour/Visit To Our School

Non-Discrimination Statement

Granite School District prohibits discrimination, harassment (including sexual harassment), or retaliation on the basis of race, color, sex, pregnancy, religion, national origin, marital status, disability, sexual orientation, gender identity or any other legally protected classification in all educational programs, activities, admissions, access, treatment, or employment practices and provides equal access to scouting groups and other designated youth groups. Related inquiries and complaints may be directed to a school administrator or to David Gomez, Title IX Coordinator, 504 Coordinator, and Director of Educational Equity, (385) 646-5000. You may also contact the Office for Civil Rights, Denver, CO, (303) 844-5695. Read Policy V.C.1.

Commitment to Accessibility

Granite School District is committed to making information, programs, and services accessible to all students, parents/guardians, patrons, and employees, including those with disabilities. Please contact your school administration or David Gomez, Director of Educational Equity, (385) 646-5000 to request interpreters or auxiliary aids. If you need help accessing this website, or you would like to provide feedback or report a concern, please contact our Communications Office, (385) 646-4529.

Content Disclaimer

The Granite School District is not responsible for the text and content of websites not owned and operated by the Granite School District.

Race/Ethnicity

General Information:

***PARENT/GUARDIAN NAME(S) AND ADDITIONAL CONTACTS***

******PERSON TO CALL IN EMERGENCY WHEN PARENT CANNOT BE REACHED******

Siblings in District

Final Section

Important Links

School Programs

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PARENT/GUARDIAN NAME(S) AND ADDITIONAL CONTACTS

PERSON TO CALL IN EMERGENCY WHEN PARENT CANNOT BE REACHED