Grade Release Form
With my signature, I grant permission to
Southeastern Louisiana University and
_________________________________
Name of Fraternity/Sorority
for my grades to be checked by the Office for Student Engagement
for Intake/Recruitment Purposes ONLY.
Please note: On form, fill in the Student’s name, W# and Contact #, then the interested student
signs in the next space. Leave two remaining spaces open (in gray area) for the Office for
Student Engagement staff to record info.
STUDENT INFORMATION
Date
Student’s
Name
W#
Contact
#
Student’s
Signature
CUM
G.P.A./Hrs.
Enrolled
Approval
By Director