The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. 1232g; 34 CFR Part 99) is a federal law that protects the privacy of student education records. The law applies to all schools that receive funds under an applicable program of the U.S. Department of Education.

FERPA gives an individual certain rights with respect to the student’s education records. These rights transfer to the student when he or she reaches the age of 18 or attends a school beyond the high school level. This information can be found on the Department of Education’s website. Schools may disclose, without consent, “directory” information, such as a student’s name, address, telephone number, date and place of birth, honors and awards, and dates of attendance unless a student requests a “directory hold.”

Rocky Mountain College requires each student to complete a FERPA form indicating a waiver of their rights so that staff and faculty can speak to an individual that the student has identified on the form. A student also has the right to indicate that they do not waive their FERPA rights, thus not giving permission for staff and faculty to share their academic information.

To allow others access to your educational information:

Please complete this section to waive your rights under the Family Educational Rights and Privacy Act to be the only party to access information concerning the following:

• The right to see the information that the institution is keeping on me as a student;
• The right to seek amendment to those records and in certain cases append the statement in those records; and
• The right to consent to disclosure of my records.

Student Name: 

Email:

Date of Birth: 

Consent: 

Individual Name: 

Relationship: 

Individuals

Social Security Number:

Signature