| Upper
Moreland High School Guidance Office |
| RELEASE OF STUDENT RECORDS |
NAME:___________________________
PRESENT GRADE: YEAR OF GRADUATION:
I hereby give my consent to release my transcript and/or recommendations to authorized personnel as indicated below (check all that apply).
_____ 1. All colleges to which I apply.
_____ 2. All scholarships to which I apply.
_____ 3. All employment application requests.
___ 4. All government or military requests.
___ 5. Other (please specify):
_____________________ Parent Signature Student Signature
* * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SENIORS MUST COMPLETE THIS SECTION:
My signature below indicates that I have read and understand the enclosed Requirements for submitting college/scholarship applications.
_____________________________ ______________________________ Parent Signature Student Signature
PLEASE RETURN THIS FORM TO THE GUIDANCE OFFICE. TRANSCRIPTS WILL NOT BE SENT IF THIS FORM IS NOT ON FILE.
|