Do not print the form and fill it out by hand.
Enter all the required information online, use the "Print and Sign" button at the bottom of the form to generate the official PDF copy.
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The official copy will have a barcode in the lower left corner and a signature line at the end of the form.
After you print and sign the form, email it to registration@edmonds.edu, OR bring the form to the Enrollment Services Office on the first floor of Lynnwood Hall, OR fax the form to 425-640-1159, OR mail the form to:
Enrollment Services
Edmonds College
20000 68th Ave W
Lynnwood, WA 98036
TO BE FILLED OUT BY THE STUDENT ONLY. |
I hereby authorize Edmonds College to release my educational records, as indicated below, for the purpose
of: |
Academic Assistance Payment of Tuition Verification of Enrollment/Progress |
Other: |
(If ‘other’, please explain why you wish to release these records) |
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Check each checkbox below to indicate which records you wish to make available: |
All Financial Aid Records (records include: status of file, award and disbursement of funds information, Satisfactory
Academic Progress status, income information, and any other information contained in the application or financial aid file). |
All Academic/Transcript Records (records include: transcripts, admission and registration information, schedule
information, assessment test scores, Satisfactory Academic Progress status, residency information, and any other documentation
contained in the academic records). |
All Student Account Records (records include: amounts due for tuition and fees, sources of payment for tuition and fees,
refund information, records hold information as it relates to parking tickets, library fines, financial aid repayments and any other
accounts receivable information contained in student account records). |
Instructor/Classroom Records (records include: attendance, progress reports, test and homework scores if available. Please
note: instructors are not required to take attendance or provide progress reports, and retain only those records which make up the
final grade. FERPA pertains to the release of records. Instructors are not required to have conversations about academic progress
with anyone other than the student). |
Other (Please Specify) |
Please Note: Counseling Center and Services for Students with Disabilities records are considered medical
records and are not covered under FERPA rules. A separate release form must be obtained from these
departments. |
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FERPA pertains to the release of records only. It does not give others the right to act on your behalf or to change your records. |
Original must be kept on file in the Enrollment Services Office. A copy will be sent to the student. Upon request, a copy will be sent to the appropriate campus offices for their files. |
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This button will generate a pdf form. Please print the PDF and sign |
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