STUDENT RELEASE OF CONFIDENTIAL INFORMATION

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STUDENT RELEASE OF CONFIDENTIAL INFORMATION
Students may authorize the release of confidential information to a third party on either a one- time or
an on-going basis. Authorizations for release of information on an on-going basis will remain valid for
as long as the student remains in the Michael F. Price College of Business, or until canceled in writing
by the student. If you have questions concerning this policy, please contact the Michael F. Price
College of Business at (405) 325-6021.
Student's name:
Sooner ID:
Authorization from:
to
Person(s) authorized to receive/request information:
Maiden name of mother/caretaker:
Place of birth of mother/caretaker:
(The above information is requested in the event University staff is required to identify the person
requesting information by telephone.)
I authorize the release of confidential academic information to the person(s) named above.
Student's Signature
Date
Witness
Date
612925181D:\612925181.doc
Last revised on: 6/27/2016
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