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Maestro College - Credential Request Authorization Form


About This Form

This form authorizes Maestro College to request and receive your official academic credentials directly from the institution(s) you attended. The information you provide will be used solely for verifying your secondary or postsecondary completion as part of the admissions process, in compliance with the Family Educational Rights and Privacy Act (FERPA).

Maestro College – Records Office

Email Official Transcript To: [email protected] OPE ID: 04168700
Address: Maestro College 10830 N. Central Expressway, Ste. 252 Dallas, TX 75231

Learner Information

First Name

Middle Name

Last Name

Date of Birth

Name on transcript

Learner's name while attending the institution, if different from above.

Current Address

Email Address

Phone Number


Issuing Institution Information

Name of School / Institution that issued the requested credentials

Institution State

Institution City (if applicable)

Dates Attended

From

To


Authorization Statement

I hereby authorize Maestro College to request and receive my official academic credentials from the institution listed above.

This consent is provided for the purpose of verifying my secondary or postsecondary completion as part of the admissions process at Maestro College. I understand that this disclosure is made in accordance with the Family Educational Rights and Privacy Act (FERPA), and I am providing this signed and dated written consent to authorize the release of the specified record to the named institution.

I certify under penalty of law that I am the individual identified in this credential request, or I am the parent/guardian authorized to make this request. I further certify that all information I have provided in this form is true, complete, and accurate to the best of my knowledge, and that I have successfully completed the academic credential listed above.

I understand that if, for any reason, this attestation is found to be false or untrue, I will not have met an admission requirement of Maestro College and will be subject to immediate dismissal. Furthermore, I understand that if this attestation is found to be false or untrue, all Title IV federal financial aid and any state or institutional financial aid that was distributed on my behalf must be refunded to the appropriate source.

This authorization will remain valid for one (1) year from the date of signing unless revoked in writing before that time


PLEASE SIGN HERE: Your transcript cannot be released without your physical signature below.

Full Legal Name

Date

Signature

Signature