Student Consent to Release Education Record

If you are a University of Memphis student, you may authorize the release of your record to someone other than a University of Memphis employee. In order for the University to release these records, it must have your consent.

What does your record include? See Inventory of Academic and Student Education Records.

To give your consent:

  1. Complete and sign a Student Consent to Release Education Record Information form. You may complete the form in our office, or you may complete the form and FAX it to us.
  2. Provide a photo ID--driver's license, U of M ID card, etc.--as proof of your identity. If you make the request in our office, be sure to bring your ID with you. If you FAX or mail us a completed form, you must attach a photocopy of your picture ID. NOTE: We cannot process your release request without proof of your identity.
  3. Bring, FAX, or mail all documents to:

    University of Memphis
    Assistant Registrar - Student Records
    003 Wilder Tower
    Memphis, TN 38152-3520
    FAX: 901.678.3249

    You may revoke your consent after you have given it. Bring a signed, written request to Student Records. Be sure you bring a photo ID (student ID or drivers license) as well.