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Student Authorization for Release of Information Form

*Official transcripts must be requested through the transcript request form found here.

  • I, the below identified person, do hereby release the following records and/or information described below:

  • I understand that this release will include all information in my student education record, which may include: grades, financial account, judicial affairs, class schedule, academic test results, and/or attendance records.

    A new authorization form will remain in effect for the current academic year and until the first day of the next academic year unless I specify otherwise in the space that follows:

  • I understand that this authorization may be withdrawn at any time in writing, except to the extent that action has been taken.