FERPA Waiver Form (Non-Current Students)

FERPA Waiver Form for Non-Current Students

Office of the Registrar
Instructions: This form is to be used by the student to grant access to their education records, academic advising notes, act on their behalf to order transcripts, register and information concerning their classroom performance and grades to other entities besides themselves, such as a parent, spouse, etc.

FERPA also permits a school to disclose personally identifiable information from education records without consent when the disclosure is in connection with financial aid for which the student has applied or which the student has received, if the information is necessary for such purposes as to: determine the eligibility for the aid; determine the amount of the aid; determine the conditions for the aid; and/or enforce the terms and conditions of the aid. With respect to this exception, the term "financial aid" means payment of funds provided to an individual (or payment in kind of tangible or intangible property to the individual) that is conditioned on the individual's attendance at a school.

For additional information regarding access to student records, please consult the most recent student catalogue. Questions about FERPA and its application at St. Francis College should be referred to The Office of the Registrar, registrar@sfc.edu.

For more information on FERPA, visit the Department of Education website.
In signing this waiver, I First Name* Last Name* , give access of the following St. Francis College records to the individual(s) below. I hold the authority to revoke this waiver at any time (Check remove access option below).
Non-Current Student Information

Please fill out the following information
Date of Birth *

Month Day Year
Student ID (Optional)
What was your Major when attending St Francis College? *
Email *

Confirmation Email example@example.com
Years of attendance *
Example: 2013-2017
Would you like to grant access and/or remove access? *

Grant Access Remove Access
Access Granted

Please enter below which records and who you would like to grant access to.
How many people would you like to grant access to? *
Name

First Name Last Name
Relationship
Grant Access to:

Academic Records Financial Records Both
Name

First Name Last Name
Relationship
Grant Access to:

Academic Records Financial Records Both
Name

First Name Last Name
Relationship
Grant Access to:

Academic Records Financial Records Both
Name

First Name Last Name
Relationship
Grant Access to:

Academic Records Financial Records Both
I understand that this request is permanent and will remain in effect until I edit this form and request that the access be removed.
Remove Access

Please enter below which records and who you would like to remove access from.
How many people would you like to remove access for? *
Name

First Name Last Name
Relationship
Remove Access From:

Academic Records Financial Records Both
Name

First Name Last Name
Relationship
Remove Access From:

Academic Records Financial Records Both
Name

First Name Last Name
Relationship
Remove Access From:

Academic Records Financial Records Both
Name

First Name Last Name
Relationship
Remove Access From:

Academic Records Financial Records Both
Please create a PIN below

This PIN will be required to be given in order to access a student's information. Please inform your proxy(s) of this PIN and keep a record for future use.
Create a 4-digit PIN *
Student Signature *

Clear
Date *

Month Day Year
For SFC use only. Processed By
Stamp here:
Note: The Family Educational Rights and Privacy Act (FERPA) of 1974 establishes the rights of students with regard to educational records. The act makes provision for inspection, review and amendment of educational records by the students and requires, in most instances, prior consent from the students for disclosure of such records to third parties.

For more information visit: http://www.ed.gov/policy/gen/guid/fpco/ferpa/index.html
Should be Empty:

FERPA Waiver Form for Non-Current Students

Non-Current Student Information

Access Granted

Remove Access

Please create a PIN below