Consent to Release Educational & Financial Records

Consent to Release Educational & Financial Records
Family Education Rights to Privacy Act (FERPA)

Full legal Name

Type your full legal name.

I, the above named, freely and voluntarily consent to the release of information from my education records (including discussion with teachers and administrators, grades and any other notations thereof).

Furthermore, I give permission to the Office of Vice President for Student Services to release information about my financial aid, student account, transcripts, and academic progress to the following person(s):

Name

Relationship to Student

Name

Relationship to Student

Name

Relationship to Student

Student's ID Number

Date of Birth

MonthDayYear

Student's Signature

Type your full legal name.

Today's Date

MonthDayYear

Note - This document will be valid uintil further notice and may only be nullified by written notification.
The consent will expire when the student ceases to be a student at South Arkansas Community College.