Financial Aid Office
1000 West Austin, Nevada, Missouri 64772
Phone: (417) 667-8181
Fax: (417) 667-8103

Release Of Information Form

This form needs to be completed if you would like someone else (such as a parent, grandparent, and etc.) to be able to call and discuss your financial aid information.

  * Required fields
Your First Name:*
Your Last Name:*
Your Phone Number:
Please include area code or country code

E-mail Address:*

I authorize the Cottey College Financial Aid Office to release information pertaining to my financial aid to the following person(s):
(1) Name:     Relationship:
(2) Name:     Relationship:
(3) Name:     Relationship:

I certify that I am the student and I understand that this authorization will remain in effect until I notify the financial aid office otherwise.
Type the text below.