Fillable Release Info Form E

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Release Info Form E

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APPENDIX F
RELEASE OF INFORMATION
I ____________________________ authorize Cerritos College to release my placement test
scores, college transcripts and/or other academic and registration information to authorized
representatives of the participating work experience company.
____________________ _________________________________ ____________________
Student Number Student’s Signature Date
The intent of this release is to provide information to authorized persons at the place of
employment to best support the student in the cooperative relationship between the Cerritos
College, the student, and the potential employer.
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Release Info Form E

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Completed 16 April 2020

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