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Health Sciences, Education and Wellness Institute STUDENT INFORMATION RELEASE AUTHORIZATION FORM Student Name:SID #:I understand that Bellevue College makes every effort to maintain information provided
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How to fill out student information release authorization

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How to fill out student information release authorization

01
Start by obtaining a student information release authorization form from the educational institution or organization that requires it.
02
Read the form carefully and understand the purpose and consequences of signing it.
03
Fill out the necessary personal information such as your full name, date of birth, and contact details.
04
Provide the specific details of the student information that you authorize to be released. This may include academic records, disciplinary records, medical information, etc.
05
Specify the duration or period for which the authorization is valid. It can be for a specific academic year or a set period of time.
06
Sign and date the form to indicate your consent and agreement to release the specified information.
07
Review the completed form to ensure all information is accurate and legible.
08
Submit the form to the appropriate authority or office as instructed, keeping a copy for your records.

Who needs student information release authorization?

01
Student information release authorization may be required by educational institutions such as schools, colleges, and universities.
02
It may also be needed by organizations or agencies that require access to student information for research purposes, government compliance, or in cases involving legal matters.
03
Additionally, certain third parties such as potential employers, scholarship providers, or loan agencies may request a student information release authorization to verify academic or personal details.
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Student information release authorization is a form that allows a student to authorize the release of their educational records to a specified individual or organization.
Any student who wishes to grant access to their educational records to a third party must file a student information release authorization form.
To fill out the student information release authorization form, the student must provide their personal information, specify the recipient of the information, and sign and date the form.
The purpose of student information release authorization is to protect the privacy of students' educational records while allowing them to grant access to specific individuals or organizations as needed.
The student must provide their name, student ID number, contact information, the name of the recipient of the information, and the specific records that are being authorized for release.
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