Chapter Member Grade Release Form - Baker University
Chapter Member Grade Release Form - Baker University
Chapter Member Grade Release Form - Baker University
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
PERMISSION FOR RELEASE OF GENERAL GPA<br />
INFORMATION<br />
The Family Educational Rights and Privacy Act (FERPA), 1974 and as amended,<br />
protects the confidentiality of student education records. It further prohibits the rerelease<br />
of these records without written authorization from the student.<br />
For the purpose of monitoring academic performance and continued eligibility for<br />
membership in the fraternity/sorority, I give <strong>Baker</strong> <strong>University</strong>’s Office of Records and<br />
Registration permission to release relative information about my academic performance<br />
to the chapter president, academic chair, or scholarship chair of the house. I understand<br />
that The Family Education Rights and Privacy Act protects this confidential information<br />
and I have the right to refuse release of this information.<br />
Name of Fraternity/Sorority:________________________________ Date:____________<br />
For the Academic Term(s):__________________________________________________<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
______________________________<br />
(printed name)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)<br />
_______________________________<br />
(signature)
Change language