Student Consent to Release Information
This release pertains only to Beal University, Bangor, MaineIn compliance with the Family Educational Rights and Privacy Act (FERPA) of 1974 as amended, Beal University will not release student grades, schedules, or financial aid information to parents, spouses, or others, unless written permission is given by the student.
Last Four of SSN:
Date of Birth:
By signing below, I authorize the appropriate offices or personnel at Beal University, forthe purpose of monitoring my education, to release information regarding my EducationalRecords which include:AcademicAttendance RecordsFinancial RecordsOther
We will not release copies of the student’s record to anyone without a signed Transcript Request Form from the student. We will not change a student’s information (address, phone, etc.) for anyone other than the student.
Name of parent(s), guardian, spouse or others that you wish to grant permission to: (Please put N/A if you are not giving permission to anybody)Name: Last Four of SSN: Name: Last Four of SSN:
*This information will only be used for identification purposes
This authorization will remain in effect until it is revoked in writing.
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Student Consent to Release Information
Agree & Sign