Academic Information Release

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Complete this form to RELEASE your academic information.

The Family Educational Rights and Privacy Act of 1974 (FERPA) provides that a college or university cannot release a student’s academic information to parent(s) or guardian(s) without the student’s written authorization. Please note that FERPA prohibits the release of grades or GPA information over the telephone.

By filling out and signing this release form, you are giving college officials the right to speak to the person or persons you designate below about your educational records as defined by FERPA, including but not limited to: class attendance, academic record details, academic progress and class schedule.

This authorization will remain in effect until you graduate or until you revoke this permission for any designated person listed below. You may revoke permission at any time by requesting this form and signing the appropriate box.

Release is limited to three individuals.

Please assign a unique password or phrase of your own creation to each person you choose to list on the form, and write it under that individual’s name. Then tell that password to the person to use when they call us, email, or stop by. We will ask the person for his/her password before we discuss any of your academic information with him/her. If at any time you wish to revoke the person’s privileges for discussing your record, simply come to our office and sign the bottom portion of the form. EXAMPLE: for Mom – password: basketball, for Dad – password: bicycle

Please print, complete and mail this form postmarked by no later than May 30, 2014. Faxes will not be accepted. Mail the original signed document to:

The First-Year Program
St. Lawrence University
23 Romoda Dr.
Canton, NY 13617

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