DEPARTMENT OF THE AIR FORCE
AIR FORCE RESERVE OFFICER TRAINING CORPS (AETC)
DETACHMENT 465, UNIVERSITY OF NEBRASKA-LINCOLN
AUTHORITY FOR RELEASE OF INFORMATION
By signing this statement, I authorize/do not authorize detachment personnel to release personal information
pertaining to my membership in the AFROTC program to my parents or guardian. This information includes, but is
not limited to: medical issues, grades, scholarship, tuition, uniforms or any other issues deemed necessary by the
detachment personnel. This statement will be on file in my personnel records at the detachment. I may change my
election at any time by filling out a new form.
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Signature of Cadet
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Printed Name of Cadet
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Date