Request to Release Assessment Scores
  • Request to Release Assessment Scores

  • STUDENT INFORMATION

  • Format: (000) 000-0000.
  • DATE OF BIRTH*
     / /
  • College or Agency Information - Note: Scores cannot be sent to individuals

  • Click here to attach your Valid Photo ID (Required) Example: Valid Drivers License

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  • Student Signature & Acknowledgement

  • STUDENT SIGNATURE: By completing and submitting this form, I verify that:

    • I am the student that this request is being made for; and,
    • The Photo ID provided is valid and not expired; and,
    • Blue Mountain Community College has my permission to share my assessment scores with the college or agency listed above.
  • Date*
     - -
  • EEO Statement: Blue Mountain Community College is an equal opportunity educator and employer. For a complete EEO disclosure statement, please go to http://www.bluecc.edu/EEO

    Blue Mountain Community College is an equal opportunity educator and employer

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