Student Authorization for Release of Education Records Information

In compliance with the federal Family Education Rights and Privacy Act of 1974, Moraine Park is restricted from disclosing certain information from your student records. You may grant MPTC permission to release information from your student records to a third party by completing and signing this form.

You must complete a separate form for each third party to whom you are authorizing records access.

Online Submission:

Do you have a myMPTC account and do you know your myMPTC user name and password?

YES – Click here to complete the Student Authorization for Release of Education Records Information Form.
(Secure forms submission using your myMPTC user name and password)

NO – Click here to create a Dynamic Forms account, and to complete the Student Authorization for Release of Education Records Information Form.
(Secure forms submission using your Dynamic Forms account)

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