Authorization Of Release Of Information

Feb 3, 2010Download as rtf, pdf

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This document authorizes Newton High School to disclose a student's senior exit portfolio to their interview committee for review. It gives permission for the school to release the student's portfolio, which contains their name and information about their portfolio, to the committee. The authorization is valid only for the current 2009-2010 school year.

AUTHORIZATION FOR RELEASE OF INFORMATION
SENIOR EXIT PORTFOLIO

(to be placed after the cover page inside the portfolio)

I hereby authorize: Newton High School/USD #373

To disclose or deliver: Student's Senior Exit Portfolio to his/her interview committee.

The following information from the records of: Tc.c.ob 'S6fe.v'>'S.e.,I)
(Name of student)
X Senior Exit Portfolio

THIS RELEASE IS AUTHORIZED FOR THE CURRENT SCHOOL YEAR (2009-2010)
- o r-- z..'8~ ()
/
Date

Date Parent or Legal Guardian (if student is less than 18 years of age)

Uptown School requires several documents for admission, including birth and passport copies, recent school reports, a medical record, and a transfer certificate. A nonrefundable application fee of 500 AED must be paid, and the application will only be processed upon submission of all required documents. Acceptance is contingent on the assessment test results, previous school reports, and a potential student interview.

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