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CalWORKs Release of Information

Student Name
This form authorizes the Barstow Community College CalWORKs staff to consult with my Case Worker, Cash Aid Eligibility Worker and Employment Specialist in order to discuss or release past or current information as it pertains to the following aspects of  my case:
  • School Records/Transcript Information
  • Employment Information
  • CalWORKs/WDC Case Management Information
  • Job Placement
  • Cash Aid Verification
  • Financial Aid Information
  • Child Care Information
This release shall remain in effect during the entire duration of my enrollment or until revoked in writing.