Fillable Student Data And FERPA Information (Haskell Indian Nations University)

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Student Data And FERPA Information (Haskell Indian Nations University)

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The Student Data And FERPA Information (Haskell Indian Nations University) form is 1 page long and contains:

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  • 10 check-boxes
  • 20 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Haskell Indian Nations University

BROWSE HASKELL INDIAN NATIONS UNIVERSITY FORMS

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_____
_____
_____
Haskell Indian Nations University Phone: (785) 749‐8468
Financial Aid Office Fax: (785) 832‐6617
155 Indian Avenue, Box 5027 Email: faoffice@haskell.edu
Lawrence, KS 66046
2020‐2021 Student Data and FERPA Information:
First Name (please print) Last Name
MI
Haskell Student ID Number
Current Phone Number to Contact You: Personal E‐Mail Address:____________________________________________________
Indicate your Housing Plan: (check one): On‐Campus
Off‐Campus
Off‐ campus With Parents
If off campus, please list your address:
List ALL name(s) and dates of any college, university or vocational/technical schools you have previously attended:
Have you graduated with an AA/AS or a BA/BS degree? Yes ________ No ________
Check all semesters that you plan on attending: Fall 20 _______ Spring 21 _______ Summer 21_______
Financial Aid Release of Information
I release Financia
l Aid information and records to my Higher Education department, Haskell TRiO, Student Success, AICF,
parents or family members and other private
scholarship sponsors as listed below:
I am electing confidentiality and do not want any records released.
Tribe Name:
Name:
Higher Education Department
Relationship:
Phone Number:
Phone Number:
Name:
Name:
Relationship:
Relationship:
Phone Number:
Phone Number:
By signing this form, I certify that I have reviewed all of the information and that the information reported on this form is true and
correct to the best of my ability. I also understand that if I purposefully give false or misleading information, I am violating a
Student’s Signature Date
1 | P a g e 2 0 20 ‐ 2 0 2 1 S t u d e n t D a t a a n d F E R P A
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Student Data And FERPA Information (Haskell Indian Nations University)

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Completed 1 February 2021

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