SA: BB Release of Info (FERPA)

Release of Information

Please Read Carefully & Understand Before You Sign
In compliance with the Family Educational Rights and Privacy Act (FERPA), the policy of Big Bend Community College is to refuse to grand third party access to student records without the written consent of the individual student. Any consent given must include the specific records to be released or reviewed and the names of the individuals to whom the information may be released. If you wish to grant permission for your records to be reviewed, please complete the form below.
I request the following records be released (check any/all that apply):

All of My Student RecordsAcademic Records (i.e. transcripts, grade appeals, academic status, advising, admissions office files, etc.)Financial Aid Records (i.e. financial aid applications, awards and files, balances, fines, business office files, etc.)Disciplinary Records (i.e. any disciplinary event or hearing, or other disciplinary action or response)Other (Specify Below)
Other
To whom may the student files be released?
Student-Athlete Name

First NameLast Name
Head Coach Email*
Student-Athlete Email*
example@example.com
Student-Athlete Signature

Clear
Signature of Parent/Legal Guardian (If Under 18)

Clear
Sport
Date

MonthDayYear
Should be Empty:

Release of Information