INFORMATION RELEASE
The information requested below will be used to assist us in providing services to your son/daughter. In order to provide the most effective services, we will need to obtain information from several sources, such as middle schools, high schools, colleges, testing agencies, counselors, admission and financial aid officers, social workers, etc. ALL THE INFORMATION RECEIVED WILL BE KEPT CONFIDENTIAL IN COMPLIANCE WITH THE FAMILY RIGHTS AND PRIVACY ACT.
My signature below authorizes the TRiO Upward Bound personnel to:
- Request a copy of my high school and/or college progress reports, transcripts, test scores and/or documentation of behavior, grade promotion, or graduation.
- Request a copy of my middle school progress reports, report card, and/or documentation of behavior, grade promotion, retention, matriculation, test history, and transfer records.
- Request a copy of my financial aid applications and awards from the federal government, state funding agencies, high school counselors, and post-secondary institutions.
- Request a copy of my test score reports (SAT, ACT, PSAT, PreACT, EOG, EOC, etc..) from all testing agencies or personnel and/or school counselors or school personnel.
- Communicate with representatives from agencies or postsecondary or secondary institutions on my behalf.
AUTHORIZATION STATEMENT
I hereby authorize TRIO Upward Bound personnel to contact and request information from, as well as supply information to, the above-mentioned parties.