This form must be submitted by an MSBA or IASA district member educator or administrator on behalf of their student(s). 

By submitting this form, (name of school) certifies that all student information provided to MSBA by (school) was obtained and disclosed to MSBA in accordance with the Family Educational Rights and Privacy Act. 

If you have trouble with your entry, please email it to amanda.bohnert@smwilson.com