Information Request Form
Student Form
Student ID:
*
Student First Name:
*
Student Preferred Name:
Student Last Name:
*
AAC Email:
*
example@example.com
I am requesting
Enrollment Verification
Directory Information
Other
Additional Information including semesters needed
Mailing Address for Information
Send Digital letter to Student Email Address
Send Digital letter to Other email address
Different Mailing Address
Other Email Address of recipient to send copy of digital
example@example.com
Mailing Recipient
First Name
Last Name
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I affirm that I am the above named student. In compliance with FERPA, I hereby give my written consent and authorize the Art Academy of Cincinnati to release my academic record as noted
*
Yes
Student's Signature
*
Today's Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
Should be Empty: