Release of Information Authorization

The Family Rights and Privacy Act of 1974 (FERPA) affords certain rights to students to inspect and review
the student records, the right to seek to have records amended, and the right to have some control over the
disclosure of information from the records.

Post-secondary institutions may disclose directory information, which includes:
• Student’s name
• Address
• Telephone number
• Date of birth
• Program of study
• Dates of attendance
• Degrees and certificates awarded
• Participation in officially recognized activities 

Post-secondary institutions may not disclose student information (other than directory information) unless a Release of Information Authorization is on file. Form must be completed and signed by the student. 

Please indicate your ONE choice below to Authorize or Deny the release of any educational records and/or financial account information. This submission supersedes all previously submitted authorizations.  

Financial and/or Educational Release Details