Consent to Release Information

Consent to Release Information
Please complete this form after you have been admitted and have chosen to attend Washburn Law.

Questions about this form can be sent to admissions@washburnlaw.edu
or call (785) 670-1185.
Full Name*

First NameLast Name
Email*
example@example.com
Prospective EmployersAnother University or Educational InstitutionProfessional Development OfficeLaw Faculty for RecommendationsOther (specify)
This release may include information pertaining to the student or graduate’s academic background, including class standing, LSAT scores and academic average.
Law Journal Committee and Editor-in-ChiefMoot Court CouncilPhi Kappa Phi (Honorary)
WSBA Election OfficersLegal Fraternities
NameWashburn email addressHometownAcademic Interest
I hereby authorize my name and photo to appear in the alumni magazine, the online version of the alumni magazine and any other official publication (print/media/online) of Washburn University School of Law.

The Dean’s Office is required to release information concerning reportable Honor Code violations upon request for certification by state bar examiners, the National Conference of Bar Examiners, and other educational institutions.
Signature*
Should be Empty: