WOODLAND HILLS HIGH SCHOOL
RELEASE OF RECORDS
Under the Family Educational Rights and Privacy Act of 1974 permission to release student records to
colleges, schools, or prospective employers is required. If a student is under 18 years of age, the law
requires parental permission. This release form is valid for one year from the signed date below.
NAME ________
____________________
(maiden name, if applicable)
DATE __________________________
YEAR OF GRADUATION ___________________
DATE OF BIRTH __________
PHONE _____________________________
I request WOODLAND HILLS HIGH SCHOOL to release:
__________ Transcript of Permanent Record
__________ Standardized Test Scores
__________ *Counselor or Principal Recommendation
__________ *Teacher Recommendation
Name of college, school or business
Address
__________ Check here if transcripts may be sent to any college,
school or business that requests them.
Applicant’s Signature
_________________________________________
Parent’s Signature
(if student is under 18)
_________________________________________
*I understand that a confidential recommendation requested for purposes of admission to a college will
be used only for that purpose. It will not be released to anyone, including the applicant, and will not be
made part of the permanent record at this school.
Revised 09/03