Transcription of OGC-S-2016-06 - Authorization To Release …
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OGC-S-2016-06 - Authorization To Release …
Office of the General Counsel OGC S 2016 06 authorization to release education Records Approved Page 1 of 1 Standard Form Approved by the Lone Star College Office of the General Counsel Authorization TO Release education RECORDS Family Educational Rights and Privacy Act of 1974 as Amended (FERPA) I, _____, hereby voluntarily authorize officials at Lone Star [Print Name of Student] College (LSC) to disclose personally identifiable information from my education records. Specifically, I authorize disclosure of the following information or category of information (Please check the box or boxes that apply): Grades/Transcripts Financial Aid Disciplinary Scholarship and/or Honors Photos Academic Records All College Records Other (Please Specify) _____ This information may be released to: _____ _____ [Print Full Name(s) of Individual(s)]
Office of the General Counsel OGC‐S‐2016‐06 ‐ Authorization To Release Education Records Approved 6.14.16 Page 1 of 1
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