Release of Information Authorization

The purpose of the Family Rights and Privacy Act of 1974 (FERPA) is to afford certain rights to students concerning their records. The primary rights afforded are the right 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 not disclose student information (other than directory information) unless a Release of Information Authorization has been completed and signed by the student.

If you DO NOT want Ranken Technical College to discuss your educational records, financial aid, and/or business office account information with any other party, please read and mark the box below. YOU MUST COMPLETE THE INFORMATION BELOW INCLUDING SIGNATURE AND DATE.

I understand that if I DO NOT authorize any individual(s) to receive information, Ranken Technical College WILL NOT release any educational records, financial aid, and/or business office account information to anyone other than me.

If you wish to give Ranken Technical College permission to discuss your educational records, financial aid, and/or business office account information with another party (parent, guardian, spouse, sponsor, ect.) please read and COMPLETE THE STUDENT INFORMATION BELOW.

First Name

Last Name

Student ID#

Starting Semester

Do you authorize Ranken Technical College to release any information?

By selecting yes to the above question, you agree to the following:
I hereby authorize Ranken Technical College to discuss my educational records, financial aid, and/or business office account information with the below person/people.

I agree to the statement

Person(s) Authorized to Receive Information

Relationship to Student

Electronic Signature (Full Name)

Please check the box below.

I acknowledge that my eSignature above has the same meaning as a handwritten signature.