STUDENT AUTHORIZATION FOR RELEASE OF ACADEMIC RECORDS AND INFORMATION
I submit this information to be considered as a participant in the Sinclair Community College TRIO Upward Bound program; I certify that the information is true and correct to the best of my knowledge. I release the following information from public school records to the TRIO Upward Bound program: transcripts, test scores, income, and other information necessary for program application completion, provision of academic support, and verification of student progress. All information provided on this form will be kept confidential and will not be disclosed to a third party by the program without my permission. I understand that my parents/guardians will be required to disclose information, such as household income, necessary to determine my eligibility for program participation.