Financial Aid Information Release Form

Financial Aid Information Release Form

Financial Aid Office | 309.341.5283 | finaid@sandburg.edu
OPTIONAL: The Family Educational Rights and Privacy Act (FERPA) limits information that can be provided to individuals other than the student. This form allows the student to authorize individuals to receiveinformation regarding their financial aid application and awards. A release can be provided for up to two academic years. Sandburg’s online service “mySandburg” allows the student to view information regarding awards, documents, billing etc. Students may create a Proxy through mySandburg to allow a designated person access to their account.
Student Name*

First NameLast Name
Student ID:*
Last 4 Digits of Student's SSN: xxx-xx-*
Student Email*
example@example.com
Please release information for the following years (ex: 2023-24 and 2024-25): * and *
I would like the information checked below released to:
Name * Relationship to Student *
Please release information regarding my financial aid application including (check all you wish to release):*

Documents received and neededIncome and FAFSA application dataTax informationFinancial aid awarded fundsFinancial aid applied to tuition, books, and/or refunded to the student
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: