New Prairie United School Corporation - Information Sharing Request Form

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Please complete the following form to allow your child's Free/Reduced Meal Status to be shared with the appropriate staff members providing assistance with the programs listed below. A form will have to be submitted for each student that you wish to have information released for.

Email *

Student (s) Name *

School Name *

Program Title(s) *

SAT/ACT Fee Waivers

AP Testing Fee Waivers

College Applications Fee Waivers

Career Center Course Fees

Dual Credit Course Fees

PNC College Bound Program

Other:

Required

Date Submitted

YYYY

Consent/Authorization *

By entering your name below, you are authorizing the release of your Free/Reduced Lunch Status for the above checked programs.

Required

Full Name of Parent or Legal Guardian *

Send me a copy of my responses.

Submit

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