Consent for Release of Student Records To Whom It May Concern: The student named below has registered at Mettle Services Please release the records for:Student Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Grade Level(Required) School Name(Required) School District Name(Required) School Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code School Phone(Required)School FaxPlease forward the records identified below to: Mettle Services Attn:Student Records 4661 Sawmill Road Columbus.Ohio 43220 Consent(Required) I authorize the release of records including IEP and ETR records for the above named student.Parent Signature(Required)Please forward the following records: Birth Certificate Immunization records Transcript of all grades and credits Ohio Proficiency Test Results Behavior Reports/Assessments Attendance Records Adoption/Custody Papers (if applicable) IEP and ETR Records (if applicable) Withdrawal Grades and Credits Received Standardized Test Results Speech Therapy Health Records Psychological Report (if applicable) Vocational Evaluations (if applicable) If you have any questions please call us at 614-270-3110 ** Written consent for release is no longer required when records are requested by authorized school personnel. (Education Amendments of 1974, “Protection of the Rights and Privacy of Parents and Students” Section 438, Subsections (b) Parts A and B page 97).