DISCLAIMER: I hereby authorize Jose Maria College, Inc. - Guidance, Assessment, and Counseling Center to collect the data indicated herein for documentation purposes. I understand that my personal information is protected by RA 10173, Data Privacy Act of 2012 and that the data collected such as my first and last name, middle initial, will be shared ONLY to the Jose Maria College, Inc. - Guidance, Assessment, and Counseling Center in accordance with the purpose stated. *
