Associate of Science FERPA Release Form

    Authorization to release information to Employer
    The Family Educational Rights and Privacy Act (FERPA) is a federal law that protects the privacy of student education records. Lasell University in compliance with the Family Education Rights and Privacy Act of 1974, has designated the following items as directory information: student’s name, term home and electronic address, campus address and mailbox numbers, telephone and voice mailbox number, date and place of birth, photograph, electronic portfolio (EPortfolio), major field of study, participation in officially recognized activities and sports, weight and height of members of athletic teams, dates of attendance, program of enrollment, expected date of graduation, degrees and awards received, and most recent previous institutions attended by the student. Some, or all, of this information may be published in directories such as a student directory; an electronic student directory; a sports program; MyLasell; the Lasell University website; or other campus publications. Lasell University may disclose any of the above listed items without the student’s prior written consent unless the registrar’s office is notified in writing to the contrary. All other student academic information is considered confidential and will not be released, with certain exceptions, without the student’s written permission. These records include grades, judicial sanctions, financial records, and other personal information. Lasell University is committed to following federal law and protecting the privacy of students and will not disclose any protected information from our student records. In addition, the college will refrain from sharing non-directory information to any individual, including parents, guardians, or employers, without the written consent of the student. By signing this waiver, the student is authorizing the designated college official to share information with select individuals and/or parties; however, the student remains the primary contact person. This agreement remains active until the student revokes access in writing to the designated college official and registrar.

    By signing this waiver, the student is authorizing the designated college official to share information with select individuals and/or parties; however, the student remains the primary contact person. This agreement remains active until the student revokes access in writing to the designated college official and registrar.

    By signing this waiver, the student is authorizing the designated college official to share information with select individuals and/or parties; however, the student remains the primary contact person. This agreement remains active until the student revokes access in writing to the designated college official and registrar.

    Authorized Employer
    Authorized Employer
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