Reverse Transfer Transcript Request

STUDENT INFORMATION
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ADDRESS / CONTACT INFO
AGREEMENT

Student Authorization: I understand that the Family Education Rights and Privacy Act (FERPA) is a federal law designed to protect the privacy of a student’s education records. By my signature, I consent to the release of my academic transcript(s) to the College of Southern Nevada by the institutions indicated above as part of my request for reverse transfer articulation pursuant to the Board of Regents Handbook, Title 4, Chapter 18, Sections 1-3. I understand the College of Southern Nevada may award academic credentials earned based upon a reverse transfer degree audit. I further understand I have the right to rescind this consent to release my academic transcripts at any time.

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