InternationalSponsoredStudent
InformationReleaseForm
IacknowledgethatKansasStateUniversitywill:
• billmysponsorforeligibletuitionandmandatoryfees.
• releasetomysponsorinformationsuchasenrollment,transcripts,and/orotherstudent
accountinformationorotherinformationthatisprotectedunderFERPA(FamilyEducational
RightsandPrivacyActof1974,asamended.)
Iwillberesponsibleto:
• provideaccuratesponsorcontactinformationtotheuniversityforanyoftheabove
documentationtobesent,andnotifytheOfficeofInternationalPrograms(OIP)
immediatelyofchangesinsponsorinformation.
• payanyandalllatefeesorotherchargesthatmaybeincurredifmysponsorshipisnot
receivedbytheduedateand/ormyaccountisunpaid.
• payanyadditionalorincidentalchargesfortheseservices(ex.mailingcosts)
• payallchargesduetoK-Statethatremainoutstanding,includingchargesthatariseif
sponsorshipischanged,canceledorchargesremainoutstandingpastthebillduedate.
• Payallchargesonmyaccountinfull.IacknowledgethatIwillnotbeallowedtoreceivea
transcriptordiplomauntilallchargesonmyK-Stateaccountarepaidinfull.
IauthorizeKansasStateUniversityto:
Ÿ releasetomysponsoranystudentacademicrecordand/orstudentaccountinformation.
MysignatureindicatesthatIacknowledgeandagreetoalloftheabove.
Name(printed)_______________________________ WID#__________________________
Name(signed)_______________________________ Date__________________________
Sponsor____________________________________ Sponsor’sStudentID#______________
*Note:Transcriptswillbesentwhengradesarepostedattheendofeachsemester.TheSponsoredStudentCoordinatorwill
sendONEtranscripttoyourprimarycontact.Ifyouneedtosendadditionaltranscripts,youmustorderthemonyourown.
Thisdocumentwillremainineffectuntilcanceled:Datecanceled:______________________
Signature:__________________________