Academic Records Release Form

* denotes a required field

Academic Records Release, 2022-2023

The TRIO Educational Talent Search (ETS) program is required to track the number of TRIO ETS students who advance to the next grade level at the end of each academic year, as well as the rates of graduation among the 12th graders we serve. This information is used to calculate the overall rates of advancement and graduation that we report to the U.S. Department of Education.  Individual student data will not be disclosed.

Some schools require written permission from a parent or guardian each school year in order to release this information to our program.  If your son or daughter attends a school that is not part of Grand Rapids Public Schools, Wyoming Public Schools, or Godwin Heights Public Schools, you will have to complete this form each school year in order for your son/daughter to remain in the program.

Student Name

Parent/Guardian Name

Parent/Guardian Consent

Please read the following statements:

I, the parent or guardian of the above-named student, authorize the release of his or her school records to TRIO Educational Talent Search, including the following information:

• Verification of whether the student is enrolled at that school,

• Verification of whether or not the student advances to the next grade level at the end of the 2022-2023 school year,

• Verification of the student’s graduation from high school (if he/she is a senior).

Parent or guardian, please sign your name below: *

(Click and drag with your mouse to sign.)

Human Verification *

To complete a release form for the previous school year, visit Academic Records Release Form 2021-2022.

Page last modified November 16, 2022