FERPA Release of Information


The Family Educational Rights and Privacy Act (FERPA) is a federal law that protects the privacy of student education records. This applies to all schools that receive funds under an applicable program of the U.S. Department of Education. FERPA gives parents, legal guardians or other designees certain rights with respect to education records.

  Name
Relationship

  Date of Birth

          SSN         email
                                                   XXX-XX-    
XXX-XX-  
XXX-XX-  

I acknowledge that I am signing this form voluntarily to release my rights under FERPA regulations. I further acknowledge official records will only be released when this written consent form is on file in the Kentucky Wesleyan College Registrar Office

NOTE: FERPA does not allow us to give information such as grades or GPA over the phone, even to the student.

I understand that I may revoke this privilege at any time by submitting a written statement to the KWC Registrar Office. A revocation will not affect any disclosures made by KWC prior to receiving the revocation.

 

Leave this empty:

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Signature Certificate
Document name: FERPA Release of Information
lock iconUnique Document ID: 11292b6fc0e61340501b8374791188344264d7d7
Timestamp Audit
May 30, 2017 1:17 pm CDTFERPA Release of Information Uploaded by - IP 24.106.144.67
March 2, 2018 3:17 pm CDTLindsey Crowe - lcrowe@kwc.edu added by C Bryan Blount - bblount@kwc.edu as a CC'd Recipient Ip: 24.106.144.66
August 26, 2019 11:54 am CDTLindsey Crowe - lcrowe@kwc.edu added by KWC eForms Administrator - bblount@kwc.edu as a CC'd Recipient Ip: 24.106.144.66
November 15, 2019 1:34 pm CDTLindsey Crowe - lcrowe@kwc.edu added by KWC eForms Administrator - bblount@kwc.edu as a CC'd Recipient Ip: 24.106.144.66
November 15, 2019 1:34 pm CDTKWC Registrar - registrar@kwc.edu added by KWC eForms Administrator - bblount@kwc.edu as a CC'd Recipient Ip: 24.106.144.66
November 20, 2019 8:02 am CDTLindsey Crowe - lcrowe@kwc.edu added by KWC eForms Administrator - bblount@kwc.edu as a CC'd Recipient Ip: 24.106.144.66
November 20, 2019 8:02 am CDTKWC Registrar - registrar@kwc.edu added by KWC eForms Administrator - bblount@kwc.edu as a CC'd Recipient Ip: 24.106.144.66
November 20, 2019 8:02 am CDTBryan Blount - bblount@kwc.edu added by KWC eForms Administrator - bblount@kwc.edu as a CC'd Recipient Ip: 24.106.144.66
July 26, 2021 10:32 am CDTLindsey Crowe - lcrowe@kwc.edu added by - as a CC'd Recipient Ip: 24.106.144.66
July 26, 2021 10:32 am CDTKWC Registrar - registrar@kwc.edu added by - as a CC'd Recipient Ip: 24.106.144.66
June 21, 2023 3:40 pm CDTKWC Registrar - registrar@kwc.edu added by - as a CC'd Recipient Ip: 104.28.203.203