Student Information Release Form

Student Information Release Form

Permission for Access to Educational Records, to be submitted only by currently enrolled/deposited students transferring as part of DCAD’s teach-out plan:

This form allows students to grant third parties access to their educational records maintained by DCAD. The Family Educational Rights and Privacy Act of 1974 (Buckley Amendment) prohibits access to or release of educational records or personally identifiable information contained in such records (other than directory information) without the written consent of the student.

This is a single-use release form. Any future requests will require a new form.


I authorize DCAD to release the following educational records:(Required)
These records should be released to the following school (you may choose only one school per form – to release your records to more than one school, please submit additional forms):(Required)

This field is for validation purposes and should be left unchanged.

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