MOBILE         STUDENTS         VISITORS & FRIENDS         A-Z INDEX         DIRECTORY         WWCC JOBS         CAMPUS MAP         FAQ MyWWCC
  
WWCC Logo  
Left Navigation Bar About WWCC Academics Services Admissions WWCC Life Athletics Right Navigation Bar
Layout transition
Social Media Icons Facebook Twitter YouTube LinkedIn Google+ Tumblr Instagram

Authorization for the Release of Information

Please use the form below to authorize certain individuals to have access to your information.


• First Name:
• Last Name:
• Student ID Number:
• Social Security Number:
• E-Mail Address:
• Phone:

I authorize Western Wyoming Community College to release the following information regarding my student status at WWCC (Check all that apply):

Information related to my admission, registration, grades, class attendance and other academic issues including my transcript.
Information regarding financial aid (limited by what is protected by FERPA and can be authorized by the student).
Information on my student account (ie: cost of tuition, fees room and board, and payments made and amounts still due).
Demographic information on me including where I live, phone number, etc.
Other (Please describe in detail below.)

The above information may be given to:

• Person #1 First Name:
• Person #1 Last Name:
• Person #1 Address:
• Person #1 Phone:
    and
• Person #2 First Name:
• Person #2 Last Name:
• Person #2 Address:
• Person #2 Phone:

I declare under penalty of perjury that the above disclosure is, to the best
of my knowledge and belief, true, correct, and complete.

Submission of the request constitutes the students signature on the request.
 


For more information, contact Mustang Central at (307) 382-1677 or mustangcentral@westernwyoming.edu.
 
© 2017 WESTERN WYOMING COMMUNITY COLLEGE
2500 COLLEGE DRIVE, ROCK SPRINGS, WY 82901
(307) 382-1600 or toll free (800) 226-1181

CONTACT US        DIRECTIONS        CAMPUS MAP