Your Full Name (required)
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the undersigned, hereby authorize
Name of Institution (required)
(hereafter referred to as "the institution") and its authorized representatives to photocopy and release specifically requested material documents or the complete and entire contents of my student financial, academic, personal, and all other records held by the institution upon request by the USPFO (The United States Property and Fiscal Office) Internal Review. These records may include, but not be limited to, the following:
1. All financial aid records (records include: status of file, award and disbursement of funds information, academic, and Satisfactory Academic Progress)
2. All academic/transcript records (records include: transcripts, admission and registration information, schedule information, assessment test scores, Satisfactory Academic Progress status, residency information, and any other documentation contained in the academic records)
3. All student account records (records include: amounts due for tuition and fees, sources of payment for tuition and fees, and refund information)
I acknowledge that I understand that although I am not required to release my records to these individuals or entities, I am giving my consent to release the information.
I understand that this release remains in effect until I revoke such consent in writing and the written revocation is delivered to the National Guard.
I understand that any such revocation shall not affect the government agencies' authority and/or its authorized representatives or assigns to audit student records.
By typing your name below, you are signing this consent form electronically. You agree your electronic signature is the legal equivalent of your manual signature. Fraudulent information is subject to recoupment and by signing this consent form you confirm your responses are accurate.
Electronic Signature (required)