RELEASE OF STUDENT FINANCIAL
INFORMATION FORM
Tyndale University keeps student information private in accordance with the Freedom of
Information and Protection of Privacy Act. If you would like to authorize a third-party to have
access (on your behalf) to information regarding your student account, please fill out the consent
form below.
I,
Full N
ame
Student ID
authorize the following individual(s) to communicate with the Student Financial Services Office at
Tyndale University on my behalf regarding my student account:
(1)
Name of Person
Relationship to Student
E
-
mail Address
(for verification purposes only)
(2)
Name of
Person
Relationship to Student
E
-
mail Address
(for verification purposes only)
If you (the student) wish to revoke this consent at any time, you (the student) must contact Student
Financial Services directly to have your information updated.
Student Signature:
_________________________________
Date:
____________________
Please return the completed form to sfs@tyndale.ca
click to sign
signature
click to edit