Academic Information Release Form Instructions

Please assign a unique password or phrase of your own creation to each person you choose to list on the form, and write it under that individual’s name.  Then tell that password to the person to use when they call us, email, or stop by.  We will ask the person for his/her password before we discuss any of your academic information with him/her.  If at any time you wish to revoke the person’s privileges for discussing your record, simply come to our office and sign the bottom portion of the form.  

EXAMPLE:  for Mom – password: basketball, for Dad – password: bicycle