Transcript Authorization to Release Info

Transcript Authorization to Release Information Form
I hereby authorize Omnitech Institute to release education verification information from my academic file as indicated and any other record pertaining to me to all parties having a signed release form with my signature. I understand and agree that this release will encompass my entire academic career at Omnitech Institute. I may change this permission at any time by completing a new “Transcript Authorization to Release Information Form” at which any prior forms signed become null and void.
In addition, I understand that the person(s) inquiring for my transcript information will be asked to verify my social security number and date of birth before any education verification information is released.
I grant permission to any inquiring person(s), agencies and/ or organization to receive education verification information pertaining to me only if the inquiring organization provides a signed released authorization form with my signature as shown below.