Fill - Free fillable RELEASE OF EDUCATIONAL RECORDS (Brandman University) PDF form

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16355LagunaCanyonRoad●Irvine,CA92618●Fax:(714) 495-6539 ●www.brandman.edu/finaid

OfficeofFinancialAid

RELEASE OF EDUCATIONAL RECORDS

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InaccordancewiththeFamilyEducationRightsandPrivacyAct(FERPA)of1974asamended,students

mustprovidewrittenconsentiftheywouldliketheFinancialAidOfficetoshareinformation with

parents,spouses,oranyotherpersonorgroupsofpersons.

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Bycompletingandsubmittingthisform,youareauthorizingtheFinancialAid

office,andonlythe

FinancialAidOffice,todiscussthedetailsofyourfinancialaid appli cationandawardwithwhomever

youdesignate.Ifyouwishthebelowdesignatedpartiestodiscussotherinformationaboutyour

educationrecordsnotrelatedtofinancialaid,youmustsignarelea s eofinformationwiththe

appropriate

office.YoumayvoidthisauthorizationatanytimebywritingtheFinancialAidOffice.



I,

AME

BRANDMAN



IDN

UMBER



herebyauthorizetheBrandmanUniversityFinancialAidofficetoreleaseand/ordiscussinformationregardingmy

financialaidapplication,eligibility,andawardtothefollowingindividuals:



AME

ELATIONSHIP



AME

ELATIONSHIP



AME

ELATIONSHIP



IGNATURE

ATE



LEASERETURNTHISFORMTOTHE

INANCIAL

ID

FFICEATTHEADDRESSORFAXNUMBERINDICATEDATTHEBOTTOMOF

THISPAGE

.

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Releaseortransferoftheaboveinformationtoanyotherpersonororganizationisprohibited.Anadditionalwrittenconsent

mustbeobtainedifanyoftheinformationistobetransferredtoanotherpersonororganization.Thisformmustbecompleted

infullbeforeinformationcanbereleased.Copiesofthisformshouldberetaine

dbyallindividualswhosenamesappearabove.



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