record, including financial aid information. Students may use the Consent for the Disclosure of Education Records form if they would like to authorize the college to
release their financial aid information to someone other than the student.
August 2018/PR
Financial Aid Office
Consent for the Disclosure of
Education Records
This form must be signed and submitted by the student in person; it cannot be faxed or emailed.The Financial Aid office is located in SSC L177.
First Name MI Last Name
Banner ID Number
I hereby authorize the Manchester Community College Financial Aid office and its employees to release the following information (Please specify: i.e. any and all
financial aid records, status):
This release is authorized for the following individuals and/or organizations:
Name of Person/Organization Relationship to Student
Name of Person/Organization Relationship to Student
Name of Person/Organization Relationship to Student
Name of Person/Organization Relationship to Student
Disclosure is made for the following purpose(s):
I acknowledge that photocopies and facsimiles of the original of this Consent for the Disclosure of Education Records including my signature shall be as valid as the
original.
Student Signature
Date
KNOW WHAT YOU ARE SIGNING
The Family Educational Rights and Privacy Act (FERPA) is a federal law that protects the privacy of student education records. The law applies to all schools that receive
funds from the U.S. Department of Education. Schools must have written permission from the student in order to release any information from a student’s education
Date Received _______/_______/__________ Reviewed By ______________________________
