Student Authorization for Release of Information Form

*Official transcripts are requested through the National Student Clearinghouse. For more information regarding the process of ordering a transcript click here.

"*" indicates required fields

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

Name*

First Last

ID Number*

Email*

Name of person/organization information is to be released to and purpose of request.*

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I understand that this authorization may be withdrawn at any time in writing, except to the extent that action has been taken.

I understand that clicking the agree button below indicates that I have read the terms and conditions stated above and accept them.*

I agree.

Comments

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

DISCOVER MSP

Apply To MSP

Newsletter Signup

Student Spotlight

PsyD Spotlight