Student Consent to Release Education Records

I am giving my consent for the release or restricting the release of my directory information and updating my specific educational records maintained by TMS under the provision of the Family Education Rights and Privacy Act of 1974 (FERPA), as amended.

The Registrar's Office will be notified of the submission of this form.
This form will be kept in the file of the student making the request.
Transcripts received from other institutions can only be released as unofficial documents.
Personal references/recommendations cannot be released.

Student Name

First Name

Middle Name (Optional)

Last Name

Student Email

Student ID Number

Please check only one of the following

Standing ReleaseSpecific Instance

If Specific Instance, please describe and be specific

Email

Phone

Please upload picture of Driver's License or Passport

Signature

I give permissions for my educational record to be changed per my request effective on the date of my signature on this form.

Date of Signature

Contact Information