Student ID Number:

The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. 1232g; 34 CFR Part 99) is a federal law that establishes the rights of students with regard to certain education records and ensures students of the rights of privacy and confidentiality with respect to those records. Subject to several exceptions, FERPA prohibits Benedict College (the College) from providing student education records to a third party without prior authorization.

Student''s Authorization to Release Information

Name:

Phone number listed:

Expiration Date:

Student Accounts/Financial Aid

Educational Record 

Student Affairs 

List of authorized individuals

Note to the student: This form gives permission to speak with the individual(s) listed above.