HSE Testing Results Consent to Obtain High School Equivalency (HSE) Test Results sa国际传媒Adult Education and Literacy Department2500 Carlyle AvenueBelleville, IL 62221 Consent formDate of Birth* Month Day Year Please enter your name* First Last Give Consent to SWIC Adult Education and Literacy Department* I give my consent to sa国际传媒 Adult Education and Literacy Department to obtain the results of my HSE testing. Rights and Privacy* I understand that all information obtained by SWIC will be maintained in accordance with the Family Educational Rights and Privacy Act (鈥淎ct鈥) and will only be used for the following purposes: Information regarding the annual commencement ceremony; Determining eligibility for available scholarships and notifying me of the same; Tracking student progress through the High School Equivalency program; and Responding to all mandated state reporting requirements. Consent Acknowledgement* By submitting this form I acknowledge that SWIC may obtain my official HSE test results and give permission for all such results to be provided to Adult Education and Literacy Department. CAPTCHA