16355LagunaCanyonRoad●Irvine,CA92618●Fax:(714) 495-6539 ●www.brandman.edu/finaid
OfficeofFinancialAid
RELEASE OF EDUCATIONAL RECORDS
InaccordancewiththeFamilyEducationRightsandPrivacyAct(FERPA)of1974asamended,students
mustprovidewrittenconsentiftheywouldliketheFinancialAidOfficetoshareinformation with
parents,spouses,oranyotherpersonorgroupsofpersons.
Bycompletingandsubmittingthisform,youareauthorizingtheFinancialAid
office,andonlythe
FinancialAidOffice,todiscussthedetailsofyourfinancialaid appli cationandawardwithwhomever
youdesignate.Ifyouwishthebelowdesignatedpartiestodiscussotherinformationaboutyour
educationrecordsnotrelatedtofinancialaid,youmustsignarelea s eofinformationwiththe
appropriate
office.YoumayvoidthisauthorizationatanytimebywritingtheFinancialAidOffice.
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BRANDMAN
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herebyauthorizetheBrandmanUniversityFinancialAidofficetoreleaseand/ordiscussinformationregardingmy
financialaidapplication,eligibility,andawardtothefollowingindividuals:
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IGNATURE
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ATE
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INANCIAL
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FFICEATTHEADDRESSORFAXNUMBERINDICATEDATTHEBOTTOMOF
THISPAGE
.
Releaseortransferoftheaboveinformationtoanyotherpersonororganizationisprohibited.Anadditionalwrittenconsent
mustbeobtainedifanyoftheinformationistobetransferredtoanotherpersonororganization.Thisformmustbecompleted
infullbeforeinformationcanbereleased.Copiesofthisformshouldberetaine
dbyallindividualswhosenamesappearabove.
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