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:

Kentucky Wesleyan College https://kwc.edu
Signature Certificate
Document name: FERPA Release of Information
Unique Document ID: 18b18b59bee029d69bd4bdf96aea6f148aa47875
Timestamp Audit
2017-05-30 13:17:02 CSTFERPA Release of Information Uploaded by C Bryan Blount - [email protected] IP 24.106.144.66