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Forms → Staff → Student → Recovery and Academic Program (RAP) Consent for Services and Authorization for Release of Confidential Information

Recovery and Academic Program (RAP) Consent for Services and Authorization for Release of Confidential Information

About this Form

Form number: 335-75A

Audience:  MCPS Staff

Last revised: August 2018

Related Forms

Form 335-75 - Application for the Recovery and Academic Program (RAP)

Adobe PDF Recovery and Academic Program (RAP) Consent for Services and Authorization for Release of Confidential Information463 KEnglish
Adobe PDF Consentimiento para Servicios del Programa de Recuperación Académica y Autorización para Divulgación de Información Confidencial441 KSpanish
Adobe PDF Consentement aux Services du Programme de Récupération et Académique et Autorisation pour la Divulgation d'Informations Confidentielles442 KFrench
Adobe PDF Ưng Thuận cho Các Dịch Vụ của Chương Trình Phục Hồi và Học Vấn và Cho Phép Phổ Biến Thông Tin Kín448 KVietnamese
Adobe PDF 同意接受恢復和學業計畫服務及授權披露保密信息578 KChinese
Adobe PDF 회복과 학업 프로그램 서비스 승인과 비밀 보장 정보의 공유 허가서467 KKorean
Adobe PDF የማገገሚያ እና አካደሚክ ፕሮግራም አገልግሎቶች ፈቃድ እና ሚስጥራዊ ኢንፎርሜሽን የማስተላለፍ ስምምነት468 KAmharic

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