I, {main_name} hereby authorize the release of my educational and employment records to Alabama Agricultural & Mechanical University’s TRiO-Upward Bound Program. The information that is to be released under this consent form includes:
- Transcripts
- School Enrollment Status
- School Credits Completed
- Degrees Earned
- Employment History
- Disciplinary Records
- Recommendations for Employments or Admissions to schools
- Other Information Released to Education and Work Performance
- Grade point averages, transcripts, report cards, homework schedules, attendance, education plans, or any other information that may be listed on these sites.
The above information is to be released for purposes of verifying placement and retention in college and/or employment and for Alabama Agricultural and Mechanical University’s TRiO Upward-Bound Program to provide support with retention in college and employment. This information will only be shared with program staff and program funders. I understand the information may be released orally or in the form copies of written records, as preferred by the requester. I understand that I have a right to inspect any written records released pursuant to this consent. I understand I may revoke this Consent upon providing written notice to the TRiO Upward Bound Program. I further understand that until this revocation is made, this consent shall remain in effect and my educational and employment records will continue to be provided to the TRiO-Upward Bound Program for the specific purpose described above.