By signing your name in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
FERPA Statement: The federal Family Educational Rights and Privacy Act (FERPA) of 1974 protects the privacy of student educational records, including transcripts, by placing certain restrictions on the disclosure of that information. As a result, your written authorization is required in order for the Maricopa Community Colleges and Western New Mexico University to release your educational records to each other for the purpose of providing admission, credit evaluation, academic counseling, financial aid, and other services. All educational records are released subject to the confidentiality provisions of appropriate state and federal laws and regulation. All information may be retained in the records of both systems.
I authorize the release of my academic records between the Maricopa Community Colleges and Western New Mexico University without prior notice and understand that my academic records will be maintained by both institutions.
I understand that I have the right to rescind this authorization at any time by notifying both institutions in writing of my decision.
I understand that such revocation will not affect any disclosures previously made before receipt of any such written revocation.
If it is appropriate to award an associate degree, my signature below gives permission to the community college to award the degree and notify me of the results without further intervention on my part.