I understand that I must participate in program services and/or activities. Prolonged inactivity (for longer than two semesters) may result in forfeiture of participation in the program. In addition, this is to certify that I agree to waive my rights under the Family Privacy (Buckley) Amendment, and agree to permit the Student Support Services Program staff to access my grades, academic history, and financial aid award information. I understand that this information will remain confidential and only utilized in determining eligibility and necessary services.
I also give my permission for Tusculum University SSS to use my image/likeness in or on SSS related publications and/or public relations materials. Such items may included: newsletter, website, video, handbook, brochures and social media.