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Scheduled IT Maintenance

Intermittent outages for campus internet, phones, and online systems (Canvas, My91̽��, etc.) are expected this weekend, July 10–12, to enhance network security and reliability. All systems will resume normal operation by Monday morning, July 13.

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CalWORKs Release of Information

First

Middle

Last

Suffix

Student B Number

Case Number

This form authorizes the 91̽�� 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.

By checking this box, I understand by typing my name will be considered my official electronic signature.

Student Signature

Date

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CalWORKs Release of Information

Main Campus

Fort Irwin Campus