ACADEMIC DEGREE VERIFICATION SERVICE CONSENT FORM

ACADEMIC DEGREE VERIFICATION SERVICE CONSENT FORM

Please fill out the following form to verify your degree.
Personal Information
Full Name

PrefixFirst NameLast Name
Date of Birth

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Degree Information
Name of Educational Institution*
Degree Earned (e.g., Bachelor's, Master's)*
Field of Study or Major
Date of Graduation*

MonthDayYear
Date
Consent Form

I, the undersigned, hereby give my full consent and authorization to the company named below to act on my behalf in all matters related to the verification of my academic degrees and the certification of my educational credentials.
1. Authorization:
  
  I authorize the company named below to communicate with third-party organizations, governmental bodies, and accreditation agencies as necessary to complete the verification and certification process.
2. Use of Information:
  
  I understand that the information obtained through this verification process will be used solely for the purpose of confirming the authenticity of my academic credentials.
  
  I consent to the company named below retaining copies of my academic records and any other documentation obtained for a reasonable period, as required by law or for the duration of their services.
3. Limitation of Liability:
  
  I acknowledge that the company named below will make every effort to ensure the accuracy of the information obtained during the verification process. However, I understand that the company named below is not responsible for any errors or inaccuracies in the records provided by the educational institutions or third parties.
4. Confidentiality:
  
  I acknowledge that the company named below will handle all my personal information with the utmost confidentiality and will not disclose it to any unauthorized parties without my express written consent, unless required by law.
5. Revocation of Consent:
  
  I understand that I may revoke this consent at any time by providing written notice to the company named below. However, I acknowledge that revocation of this consent may impede the verification and certification process.
6. Duration of Consent:
  
  This consent shall remain valid until the verification and certification process is completed, unless revoked in writing by me prior to the completion of the process.
7. Governing Law:
  
  This consent form shall be governed by and construed in accordance with the laws of the Ontario/ Canada jurisdictions.
8. Signature:
  
  By signing below, I affirm that I have read and understood the terms of this consent form and that I voluntarily agree to its terms.
Date

MonthDayYear
Date
Student's Full Name*

PrefixFirst NameLast Name
Authorized Company's Name*
Signature

Clear
Should be Empty:

ACADEMIC DEGREE VERIFICATION SERVICE CONSENT FORM

Personal Information

Degree Information