UMUC

Military

FERPA Release Form

Instructions: Please print out this form, complete the necessary information, and fax it to the military installation where you are taking course(s) using the appropriate fax number below.

I, the undersigned student, hereby authorize University of Maryland University College to release the specified educational records and information in accordance with this FERPA Release:

Educational Records and Information:      

  • Date of Birth
  • Home address and telephone number
  • Course enrollment information
To:
(enter appropriate military installation)
For the purpose of: Attending class on the above named military installation. I understand that this consent shall remain in effect until revoked by me in writing.


Student's Signature


Date


Student's Name (please print)


Student's Identification Number


Signature of Parent or Guardian (if student is under age 18)

Location Fax Number Location Fax Number

Aberdeen PG

410-273-0394

Henderson Hall

703-614-7848

Andrews AFB

301-420-3982

Patuxent River

301-862-2863

Bolling AFB

202-563-2364

Pentagon - Army

703-695-9613

Fort Belvoir

703-619-7063

Pentagon - AF

703-695-0214

Fort Meade

301-621-9898

Quantico

703-630-9333

Fort Myer

703-696-0145

Walter Reed

202-782-0664