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Sustainable Agriculture Institute Promotes Sustainable Education through Permaculture Design

Student Information Release Authorization

 

 

In compliance with the federal Family Educational Rights and Privacy Act of 1974 and Institute policies on access to and release of Student Education Records, the Sustainable Agriculture Institute is prohibited from providing certain information from your student records to a third party, such as information on grades, billing, tuition and fees assessments, financial aid (including scholarships, grants, work-study, or loan
amounts) and other student record information.

 

This restriction applies but is not limited to: your parents, your spouse/partner/sponsor, or your employer.

 

  • You may, at your discretion, grant the Institute permission to release information about your student records to a third party by submitting a completed Student Information Release Authorization. You must complete a separate form for each third party to whom you grant access to information on your student records. The specified information will be made available only if requested by the authorized third party. The Institute does not automatically send information to a third party.

 

  • Submit your completed form to the Office of the Registrar utilizing the online form at the bottom of this page. Please note that your authorization to release information has no expiration date; however, you may revoke your authorization at any time by completing this same form and returning it to the same office.

 

  • This Student Information Authorization Form allows third parties to access student record information from the Sustainable Agriculture Institutes Office of the Registrar.

 

  • NOTE: For the third-party designee you name on this form, this release overrides all FERPA directory suppression information that you have set up in your student record. However, it is the Institute’s policy not to release
    certain aspects of student records (e.g., grades, GPA) over the phone or via email due to the limited security of these channels. For the issuance of information concerning Grades and GPA a Official Transcript should be requested.

 

Student Information Release Authorization Form

Student Information

Section Divider

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Third-Party Designee

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Information Types Allowed (Check All That Apply)

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CERTIFICATION SECTION