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.