Student Release Authorization Form
In compliance with Federal Family Education Rights and Privacy Act of 1974 (FERPA), North Carolina A&T State University (NC A&T) is prohibited from providing certain information from your student records to a third party, such as grades, billing, tuition and fee assessments, financial aid (including scholarships, grants, work-study or loan amounts) and other student record information. This restriction includes, but is not limited to, your parents, spouse or a sponsor. FERPA is a Federal law that protects the privacy of student education records. In order for the University to release information to anyone other than yourself, various on-campus offices, federal, state and law enforcement agencies are exempt under the FERPA law, this release form must be signed by you (the student) and will remain in effect until revoked by you in writing.
Please note that it is the policy of NC A&T not to release certain aspects of student records (income, grade point average, grades, and account balance) over the telephone or via e-mail. Students must visit the respective offices to obtain this information.
I hereby waive my rights under FERPA and authorize NC A&T the right to release or discuss my student information with University staff/faculty in the Admissions; Registrar; Financial Aid; Treasurer’s Office; New Student Programs; Housing & Residence Life; Student Affairs; Athletic Department; Distance Learning and other University offices. In addition, I authorize NC A&T to release or discuss my student information and other non-directory information to the parties (parent(s), spouse, employer, high school, scholarship provider and other agencies) listed below:
(Please Print; Information will not be released if we cannot read the individual or organization’s name