Additional Information Request
Authorization: I authorize HOLY FAMILY CATHOLIC HIGH SCHOOL to obtain information from the school listed above.
The information to be released:• Official School Records (e.g., name, address, attendance record, grades, test results, behavior)• Standardized Testing Results• Health Records• Psychological Records• Social Work Reports• Current School Counselor Observations• Chemical Abuse/Dependency Report• Medical Reports (including related services)• Special Education Results (including related services)
I understand that student records may be examined by parent/guardian(s) or the student if age 18 or older. I understand that this authorization takes effect the day I sign it. I understand I may change or revoke this authorization at any time. This authorization expires one year from the date of my application submission.