College of Medicine
School of Physician Assistant Studies
GENERAL RELEASE OF INFORMATION
In furtherance of my post-graduation goals, I authorize the University of Florida School of Physician Assistant Studies and its faculty, agents, and employees (the “releasees”) to release to any potential employer, scholarship provider, hospital credentials committee, educational institution (includes verification for graduation, loans, or further education), or state licensing board, any information concerning my academic record, abilities, competence, character or qualifications relevant to my employment as a physician assistant. I release from any liability all releasees who, pursuant to this written consent, provide the described information about me to any of the described entities.