Fillable Education Records Authorization to Disclose to Parents/Guardian (Cambridge College Massachusetts)

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Education Records Authorization to Disclose to Parents/Guardian (Cambridge College Massachusetts)

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The Education Records Authorization to Disclose to Parents/Guardian (Cambridge College Massachusetts) form is 1 page long and contains:

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  • 7 check-boxes
  • 13 other fields

Country of origin: US
File type: PDF

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Authorization to Disclose
Education Records
to Parents/Guardian
Registrar's Oce
Cambridge College
500 Rutherford Avenue
Boston, MA 02129
Phone: 617.873.0101
Fax: 617-242-0026
registrar@cambridgecollege.edu
Requested by (student)
Last name _________________________________________ First name _________________________________ Middle name _________________________
Disclose information to:
Name(s) ________________________________________________________________________________________________________________________________
Relationship to student: ___________________________________________________________________________________________________________________
Education record information to be released:
________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________
In accordance with FERPA, Cambridge College will disclose to parents information from the academic records of a student provided the College has on le
written consent of the student. Please sign below and return to the Oce of the Registrar if you consent for Cambridge College to release to your parents your
educational records.
Submit completed and signed form to:
Registrar's Oce
Cambridge College
500 Rutherford Avenue
Boston, MA 02129
Or email to:
registrar@cambridgecollege.edu
Or fax to:
617.242.0026
05/30/20
Student ID#________________________
Your Cambridge College Location
Boston
Lawrence
Springeld
Puerto Rico
Southern California
NEIB
Other_____________
Signature
on paper printout or electronic* _______________________________________
Date _____________________________________________________________
*Please see electronic signature options on the Registrar's web page
.
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Education Records Authorization to Disclose to ParentsGuardian (Cambridge College Massachusetts)

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Completed 20 May 2021

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