Beloit College - Student Financial Records Information Release Form
Download a blank fillable Beloit College - Student Financial Records Information Release Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Beloit College - Student Financial Records Information Release Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Beloit College – Student Financial Records Information
Release Form
The Family Educational Rights and Privacy Act (FERPA) is a federal law that protects the privacy of student
education records. FERPA gives parents certain rights with respect to their children's education records. These
rights transfer to the student when he or she reaches the age of 18 or attends a school beyond the high school
level. Students to whom the rights have transferred are "eligible students." Eligible students may give written
consent authorizing disclosure of information to parents (custodial or non-custodial) or other third parties. If you
wish to allow access to your student account, financial aid, or tax/payroll information, you must complete this
nd
form and return it to the Financial Aid Office, 2
floor Pearsons Hall or by email to faoffice@beloit.edu.
Student Name:_____________________________
Student ID Number: ________________
You may only check one box below:
I, the undersigned, hereby do not authorize the Beloit College Accounting, Financial Aid, or Payroll
Offices to release to or to discuss with anyone, other than myself, my student financial records.
I, the undersigned, hereby authorize the Beloit College Accounting, Financial Aid, and Payroll Offices to
release to or discuss with the following individuals, information related to my student financial records.
1: Name ___________________________________ Address ________________________________________
Relationship to student _______________________ City, State, Zip___________________________________
Email _____________________________________ Phone _________________________________________
2: Name ___________________________________ Address ________________________________________
Relationship to student _______________________ City, State, Zip___________________________________
Email _____________________________________ Phone _________________________________________
3: Name ___________________________________ Address ________________________________________
Relationship to student _______________________ City, State, Zip___________________________________
Email _____________________________________ Phone _________________________________________
This release will remain in effect until revoked by me, in writing, and submitted to the Beloit College Financial
Aid Office. Any such revocation will not affect disclosures made prior to receipt of written revocation.
Student Signature ___________________________________________
Date _________________________
For more detailed information regarding Family Educational Right to Privacy Act (Buckley Amendment) please go
https://
to:
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal