Active Member Grade Release Form 2019-20
Email address *
First Name *
Last Name *
I am requesting that the Student Affairs Office release my academic records to the Campus Programs and Organizations Office for scholarship programs, advising, and for the purpose of chapter averaging during the 2019-2020 academic year. Furthermore, I authorize the Campus Programs and Organizations Office to release appropriate educational information to my chapter for the purpose of scholarship tracking and reports to my inter/national fraternity/sorority. *
Chapter Affiliation *
Student Number *
Electronic Signature *
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