Student Consent to Release Information


This release pertains only to Beal University, Bangor, Maine

In 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.


Student name:

Last Four of SSN:

Date of Birth: 

By signing below, I authorize the appropriate offices or personnel at Beal University, for
the purpose of monitoring my education, to release information regarding my Educational
Records which include:
Academic
Attendance Records
Financial Records
Other  

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:
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:

Signature arrow sign here


Signature Certificate
Document name: Student Consent to Release Information
lock iconUnique Document ID: 9681c8cec47d4c281c4514b369223e7a33291736
Timestamp Audit
March 26, 2021 2:46 pm EDTStudent Consent to Release Information Uploaded by Angelica Loredo - aloredo@beal.edu IP 71.255.159.238
March 29, 2021 8:51 am EDT Document owner administrator@beal.edu has handed over this document to fa@beal.edu 2021-03-29 08:51:21 - 71.255.159.238
April 1, 2021 9:54 am EDT Document owner fa@beal.edu has handed over this document to aloredo@beal.edu 2021-04-01 09:54:52 - 71.255.159.238
September 14, 2021 10:20 am EDT Document owner aloredo@beal.edu has handed over this document to fa@beal.edu 2021-09-14 10:20:11 - 71.255.159.238