AUTHORIZATION FOR RELEASE OF INFORMATION

*** Please allow us at least 3 to 5 business days to process your request. ***

You need to be mindful of the estimated processing time and your institutional/organizational deadlines when submitting this form. This form is primarily used for educational institutions, but you may request documents to be completed for employers and/or other organizations requesting information about your academic and disciplinary history at Montgomery College.

1. First Name: *This question is required.

2. Last Name: *This question is required.

3. MC Email Address *This question is required. This question requires a valid email address.

(i.e., MyMCID@montgomerycollege.edu)

4. MC Student ID Number *This question is required.

M# (Ex. M2XXXXXXX)

5. Phone: *This question is required.

e.g., 240-567-5000