FERPA Release Form

FERPA Release Form

Name(Required)
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The Family Educational Rights and Privacy Act (FERPA) affords certain rights to students concerning the privacy of and access to their education records. This form authorizes Faulkner University to release any and all of the below named student’s education records to a certain third party, namely AssuranceAmerica Corporation. AssuranceAmerica will be using such information to determine student’s eligibility for a scholarship it is awarding to attend Faulkner University; this information will also be used in determining the amount of any scholarship awarded. This Release is applicable to any of the student’s education records in the possession of Faulkner University, including records that were not created by Faulkner University, such as transcripts, letters of recommendation and disciplinary records (if any). This Release is to be construed as broadly as possible and includes, but is not limited to, any and all information in the student’s admissions file and/or financial aid file at Faulkner, whether the student is eligible to receive the Alabama State Grant and/or the federal Pell Grant, whether the student has applied for either or both of such grants and whether the student will be awarded such grants and the amounts thereof. This Release further includes, but is not limited to, the Free Application for Federal Student Aid (FAFSA) form completed by the student and the results provided by the federal government and evaluation of transfer credit from other higher education institutions as well as such entities as the College Level Examination Program (CLEP) and Advanced Placement courses created by or offered through the College Board (or similar entity). This Release also includes the release of academic information, which includes, but is not limited to, transcripts of grades earned at Faulkner University, credit hours enrolled/earned, grades/GPA, class schedule(s), academic progress and enrollment status. This Release also includes all business records relevant to the student’s attendance at Faulkner University, including billing statements, charges, credits, payments, past due amounts and collection activity. The student understands and acknowledges that the referenced information may be released orally, or in writing or in the form of copies of written records; the Student also understands that this Release remains in effect until revoked in a writing sent by the Student to the Registrar of Faulkner University.(Required)