Confidential Records Release
TO BE SIGNED BY THE CLIENT AND IF UNDER 18 PARENT OR LEGAL GUARDIAN
The Educational Opportunity Center administration at Rogers State University is hereby granted permission to request and receive student educational records for post-secondary education retention and graduation tracking purposes. These will be limited to the following:
- official school transcript with test scores
- test results, if available (PSAT, SAT, ACT, PLAN, etc.)
- basic skills test results
- student history file/academic report with test scores
- enrollment information from the National Student Clearinghouse
Permission is also given to post-secondary institutions (universities, colleges, proprietary schools, technical schools) and/or educational or other agencies to release to Educational Opportunity Center at Rogers State University any information or documentation for educational tracking purposes related to the student's:
- admissions
- enrollment
- financial aid
- academics (i.e. transcripts)
Once signed and dated this release will be valid throughout the student's educational career and as long as Educational Opportunity Center has need for the information. It is understood that this information will be handled in a confidential manner and will only be available to EOC program staff and representatives of Federal and State Departments of Education.
I certify that the information on this form is accurate and complete to the best of my knowledge. Permission is granted to Rogers State University and Educational Opportunity Center to use information and/or photographs about the student for use in media releases, publications, brochures, newsletters, advertisements, social media, and other promotional uses without notifying the client or legal guardian. Rogers State University is held harmless of any liability.