FERPA Waiver Form
The Family Educational Rights and Privacy Act of 1974 (FERPA) obligates a college or university to maintain the privacy of educational records. These records include, but are not limited to, academic information such as grades, grade point averages, course schedules, and academic standing, which are maintained by the Office of the Registrar. Five Town College’s full FERPA Policy is disseminated to registered students via email at the beginning of each academic year and is available in the academic catalog.
Students who wish to authorize release of their Non-Directory Information to parents, guardians, spouses or any other individual may do so by signing the Waiver below and submitting it to the Office of the Registrar. By signing this form, the student is waiving his/her rights under FERPA and is asking that Non-Directory Information such as attendance, grades, grade point averages, course schedules, or academic standing be released to the named person(s). The information will be released to the named person(s), either by mail, fax, or in person with photo identification, when a request is made in writing.
Absolutely no academic Non-Directory Information (e.g., attendance, grades, GPAs) will be released by phone or email whether or not a waiver is submitted.
Directory Information may be released to those requesting such information unless the student has specifically requested that the information be restricted. Directory Information consists of name, addresses, telephone numbers, date and place of birth, program concentration(s) and minor(s), student activities, including athletics, dates of attendance, degrees and awards, rate of graduation, most recent previous school attended, academic awards/scholarships, number of credits (full- or part-time) for which a student is registered. If a student wishes to restrict the release of designated directory information, he/she should come to the Office of the Registrar for assistance.
STUDENT WAIVER
