* Required



I authorize the exchange of information regarding academic and financial data with outside agencies to determine my college funding.
 

Academic Records
Business Office (Students Accounts and Payments)
Financial Aid Information
Student Life (Health and Safety and Discipline Information)
 
Information may be released to: (DO NOT PUT A PERSON'S NAME BELOW IF YOU DID NOT CHECK AN AREA ABOVE)




 
If you would like your bill sent to someone other than yourself, please provide further information below.






 

Do not release information.
 
CERTIFICATION:
By signing below, I acknowledge that I have received information about my FERPA rights (view FERPA information). Further, I understand that my responses to the above will remain in place during the current school year unless a written notice of change is submitted. No information may be released to an other person(s) than listed above. Release of information authorizations are only effective for the specific school year indicated.





Yes I understand.