Free FERPA Release Form Template
FERPA Release Form
Please fill in the required fields to grant your consent.
Student Information
Name
Grade/Year Level
Program/Course of Study (if applicable)
Phone Number
Recipient Information
Person/Organization Name
Relationship to Student
Records to Be Released
Select all that apply:
-
Academic Transcript
-
Enrollment Record
-
Financial Aid Record
-
Disciplinary Record
-
Record Description
Purpose of Disclosure
Consent
I hereby authorize the release of the educational records specified above to the recipient named above. I understand that my consent is voluntary, and I may revoke this consent at any time in writing.
Name:
Date:
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