FSL - PAIR (PNM Academic Information Release)

To learn more about the fraternities and sororities at East Tennessee State University, please visit the Fraternity and Sorority Life (FSL) website at www.etsu.edu/fsl 

 

If you have any questions abotu this form, please contact the Assistant Director of FSL, Haeleah Lester at lesterhs@etsu.edu or the FSL Coordinator, Zack Sholes at sholesz@etsu.edu. 

ETSU Hazing Policy Statement Authorization

The East Tennessee State University Hazing policy is defined as:

Any Intentional or reckless act, on or off institutional property, by one student, acting alone or with others, which is directed against any other student, that endangers the mental or physical health or safety of that student, or which induces or coerces a student to endanger his or her mental or physical health or safety, and includes treatment of a violent, abusive, shameful, insulting, or humiliating nature. Such action is prohibited when connected with initiation into, affiliation with, or continuing membership in a group or organization and does not include participation in customary athletic events or similar competitions. 

No Student organization or individual shall engage in or condone any form of hazing. Hazing activity that is in violation of any other institution or school regulations such as the misuse of alcohol, drugs, school property, etc. is strictly forbidden. 

I have read the East Tennessee State University policy on hazing and agree that I will not participate in any event or act that could be considered hazing. If I am asked to participate in any event that could be considered hazing, I agree to report it to the Dean of Students within 24 hours by using the Incident Report Form or via phone at 423-439-6837. By submitting this form, I acknowledge that I have read the ETSU Hazing policy statement.

FERPA Grade Release Authorization

The Family Education Rights and Privacy Act (FERPA) prohibits the release of personally identifiable information from the students’ education records without their prior written authorization. Exceptions to this policy are limited to: 1) release of such information to a specific list of officials with a legitimate educational interest in the record, 2) the release of such information in response to a court order, health or safety emergency, or approved research project, or 3) the release of public directory information which has not been previously restricted by the student.

In order to comply with the Family Educational Rights and Privacy Act (Public Law 93-380) passed by the 93rd U.S. Congress, as amended on November 19, 1974, it is necessary for each student with interest in accepting membership in a sorority or fraternity to consent to the release of his/her academic records. Records to be disclosed include the student's semester grade point average, cumulative grade point average, judicial records, and any other records deemed appropriate by the Fraternity and Sorority Life Staff. Parties to whom the records may be disclosed: Chapter President, Chapter and/or Faculty Advisors, Scholarship Chairperson, (Inter)National Headquarters Staff, Regional Chapter Advisors/Volunteers, Chapter Executive Officers, Council Leadership, ETSU Fraternity and Sorority Life and Student Life and Enrollment Staff.

Further, by submitting and completing this form, I confirm authorization for the Fraternity and Sorority Life Staff to release my grades to the respective organization with which I choose to affiliate (should I choose to affiliate with one), with Fraternity and Sorority Life staff, with fraternity advisors, with regional fraternity representatives, and with national fraternity representatives for each academic term that I am enrolled at East Tennessee State University.