If you agree that the University of Texas at San Antonio and Shorelight may disclose information from your education records to your parents/guardians,
your sponsor (if applicable), and your recruiter, please sign the following
consent:
I consent to the disclosure
of any personally identifiable information from my education records to the individual(s)/organizations(s)
named below, for reasons determined by the University of Texas at San Antonio or Shorelight as
appropriate. I understand that the
purpose of the disclosure is to inform the parties listed below of my progress
and status at the University of Texas at San Antonio,
as well as any circumstances affecting my attendance at the University of Texas at San Antonio. I
understand that my education records may be disclosed to my Parents/Guardians
through the Recruiter and that the Recruiter may only re-disclose education
records to my Parents/Guardians identified below. This authorization will remain in effect for the
duration of my tenure at the University of Texas at San Antonio, but I may revoke the consent by written notice at anytime.*