Private School Closure Form

1.

Closing a school is a significant step, and we appreciate your efforts to ensure student records are properly managed. Records should be transferred to a reliable person or entity for storage, and students and parents/guardians should be informed about how to request them. Because neither the Office of the Superintendent of Public Instruction nor the State Board of Education can retain records at the state level, use this form to notify the State Board of Education about the disposition of student records.

*This question is required.

Name of School
School Building Code

2. When did your school close? This question requires a valid date format of MM/DD/YYYY.

calendar

3. Please provide the contact information for the person or entity responsible for storing your school records, including transcripts and diplomas. *This question is required.

Name
Physical Address
City
State
ZIP Code
Phone Number
Website

4.

Please share any additional information about your school closure plan, including how students and former students can access transcripts and diplomas in the future. For high schools, it is especially important to have a plan for graduates. Access to these records is critical for employment, higher education, and other opportunities.

Note: The State Board of Education and WFIS cannot store school records.

*This question is required.

5. By submitting this form, I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. *This question is required.

Your Name
Today's Date