Unity students in the lab

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Student Information Release Form


In compliance with the Family Educational Rights and Privacy Act (FERPA) of 1974 as amended, the College will not release academic, residential, or financial information to parents, spouses, or others, unless written permission is given by the student.

I authorize any official representative of Unity College to release and/or discuss my academic, residential or financial information with the person(s) listed below.
Name:
Relationship to Student:
Address:
City:
State:
Zip:
                                               
Name:
Relationship to Student:
Address:
City:
State:
Zip:


_______________________________________               _____________
Student Signature                                                                   Date


Completed forms should be returned to:   Unity College
                                                               Office of the Registrar
                                                               90 Quaker Hill Road
                                                               Unity, ME  04988

Signed release forms will remain in effect permanently unless revoked, in writing, by the above named student.