Woodmont College

Information Disclosure Release Form


Family Education Rights and Privacy Act (FERPA)_ Information Disclosure Release Form

 

FERPA, the Family Education Rights and Privacy Act, is a Federal Law protecting the privacy of student educational records. Schools must have written permission from a student before releasing non-directory information such as academic or financial records to other parties.

By signing this document, I am giving or revoking my consent for Woodmont College officials to discuss the contents of my academic record, including coursework and grades, and/or financial record, with the following parties. I understand I may revoke consent at any time by submitting this form.

Student Name:   

I am access to my records to:

 

 

Academic Records:

Financial Records:

 

Leave this empty:

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Signature Certificate
Document name: Information Disclosure Release Form
lock iconUnique Document ID: a3bf882d2a7fd06519568e51cc3217d8c0678e5d
Timestamp Audit
November 21, 2021 10:18 pm ISTInformation Disclosure Release Form Uploaded by Rivka Levine - documents@woodmontcollege.edu IP 5.102.195.138
November 21, 2021 10:22 pm ISTElisheva Steinhart - registrar@woodmontcollege.edu added by Rivka Levine - documents@woodmontcollege.edu as a CC'd Recipient Ip: 46.19.85.14
November 21, 2021 10:22 pm ISTAvital Lopiansky - applications@woodmontcollege.edu added by Rivka Levine - documents@woodmontcollege.edu as a CC'd Recipient Ip: 46.19.85.14
November 22, 2021 9:46 am ISTElisheva Steinhart - registrar@woodmontcollege.edu added by Rivka Levine - documents@woodmontcollege.edu as a CC'd Recipient Ip: 5.102.195.138
November 22, 2021 9:46 am ISTAvital Lopiansky - applications@woodmontcollege.edu added by Rivka Levine - documents@woodmontcollege.edu as a CC'd Recipient Ip: 5.102.195.138
November 22, 2021 9:47 am ISTAvital Lopiansky - applications@woodmontcollege.edu added by Rivka Levine - documents@woodmontcollege.edu as a CC'd Recipient Ip: 5.102.195.138