Public Records Request Form

To facilitate processing your Public Records Act request, fill out all the information listed below and click ‘Submit’ this request will be sent to the Office of the Superintendent/President located in the Student Services/Administration Building, 2nd floor.

If you have questions regarding this form, contact Susan Groveman, Executive Director of Marketing and Community Relations at 661-763-7942.

This form is not for requesting student records, transcripts or reissuing Diplomas or Certificates!

For assistance with student records or course information visit the Academic Records and Transcripts site or call the Office of Academic Records at (661) 763-7756

"*" indicates required fields

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Please include your email address.

Phone

Agency (Optional)

If you represent an agency please input the name here.

This is not a student records request form!
For assistance with student records or course information visit the Academic Records and Transcripts page or call the Office of Academic Records at (661) 763-7756

Record Requested*

Please provide as much detailed information as possible regarding the records you seek.

Comments

If you have any other comments pertaining to this request please include them here.

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This form is not for requesting student records, transcripts or reissuing Diplomas or Certificates!

For assistance with student records or course information visit the Academic Records and Transcripts site or call the Office of Academic Records at (661) 763-7756

Name

This field is for validation purposes and should be left unchanged.