Record Release Form

To the parent or guardian:

Please sign and submit this release form to the appropriate school, program or specialist. Please send a second

copy to TADS Admissions Management. This authorization also covers any conversation between GCE and

representatives of the school, program or specialist.

Student’s name: _______________________________________________________________________

Birth date: ____________________________ Gender: O Female O Male

Grade applying to: O 9th O 10th O 11th O 12th

I give ________________________________________________________________________________ permission to

release the following sets of records to Global Citizenship Experience Chicago High School as a required piece of

their admission process.

Parent/guardian name (printed) __________________________________________________________

Parent/guardian signature _______________________________________________________________

Date _______________

o GCE’s Administrator/Counselor/Teacher/Coach Evaluations

o Report cards/progress reports for the past three academic years

o Teacher narratives for the past three academic years

o Standardized testing results from the past three academic years

o Psychological/educational evaluations and recommendations

o Tutor reports and/or recommendations

To the school, program or specialist receiving this release and request for records:

Please send the requested information to TADS Admissions Management by mail or fax by February 1, 2011 or as

soon as possible. We appreciate your efforts in helping complete this student’s admission file. Thank you.

TADS Admissions Management 1201 Hawthorne Ave., Ste. 100 Minneapolis, MN 55403 Fax: 612.548.3326