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Student Information Release AuthorizationSTUDENT ADMINISTRATIVE SERVICES Potsdam Campus: Box 5575, Potsdam, NY 136995575 (315) 2686451 Capital Region Campus: 80 Not Terrace, Schenectady, NY 12308
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How to fill out student info release form

01
Obtain a copy of the student info release form from the school or institution.
02
Read through the form carefully to understand the information being requested and the purpose of the release.
03
Provide your personal details such as your name, address, contact information, and any identification numbers required.
04
Specify the student's information that you wish to authorize the release of. This may include academic records, medical information, or other specific details.
05
Indicate the duration of the release, whether it is a one-time authorization or if it applies for a certain period of time.
06
Date and sign the form to acknowledge your consent and agreement to release the specified information.
07
Submit the completed form to the appropriate school or institution.

Who needs student info release form?

01
The student info release form may be required by various entities such as:
02
- Educational institutions, for the purpose of sharing student records with other schools or organizations.
03
- Employers, particularly those in education or childcare sectors, who require access to relevant academic information.
04
- Healthcare providers, to obtain medical records of a student for treatment or assistance purposes.
05
- Government agencies, in cases where disclosure of student information is necessary for legal or administrative reasons.
06
- Parents or legal guardians, who may need to provide consent for the release of a minor student's information.
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A student info release form is a document that allows educational institutions to share specific information about a student with designated third parties, such as parents, employers, or other institutions.
Typically, students who wish to authorize the release of their personal information to others, such as parents or potential employers, are required to file the student info release form.
To fill out the student info release form, individuals must provide their personal details, specify the information they consent to be shared, identify the recipients of that information, and sign the form to acknowledge consent.
The purpose of the student info release form is to protect students' privacy by requiring their explicit consent before any personal information can be shared with third parties.
The form typically requires the student's name, identification number, the information to be released (such as grades or attendance records), and the names of the third parties authorized to receive this information.
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