Ferpa Form For Student'S Consent To Release Financial Aid Information printable pdf download

Office of Financial Aid

5400 Ramsey Street Fayetteville, NC 28311

Telephone: (910) 630-7192/7193,

1-800-488-7110

Fax: (910) 630-7285

________________________________________________

FERPA FORM FOR STUDENT’S CONSENT

TO RELEASE FINANCIAL AID INFORMATION

The Family Educational Rights and Privacy Act (FERPA) of 1974 is a federal law designed to protect the privacy

aspects of a student’s educational record that are not considered ‘directory’ information. In response to the terrorist

attacks on the United States that took place on September 11, 2001, Congress made changes to FERPA. Section 507 of

the USA Patriot Act amended FERPA, which now contains 16 exceptions to the general rules. Public Law 107-56; DCL

April 12, 2002. Methodist University complies with the changes made to FERPA as a result of the USA Patriot Act.

Educational records include financial aid and student account records which are considered confidential and will not

be released without written consent from the student, except to the extent that FERPA authorizes disclosure without

consent. For this reason, it is necessary for the Office of Financial Aid at Methodist University to obtain permission

from a student in order to release financial information not excluded by FERPA laws.

FERPA Contact for General Information:

Family Policy Compliance Office

U.S. Department of Education

400 Maryland Ave., S.W.

Washington, DC 20202-4605

Phone: 202-260-3887

Web site address:

In accordance with the Federal Education Rights and Privacy Act (FERPA) of 1974,

I, ____________________________________________ (please print full name) the undersigned, authorize the

release of my financial aid information to the individuals named below. This release pertains only to my financial

Records and does not allow the individuals named below access to information from any other department or office

except if it impacts financial aid eligibility and charges. I agree to waive my rights under FERPA and allow the below

named person(s) access to my financial records effective as of this date forward unless I specify otherwise.

Name ______________________________________

Relationship__________________

Name ______________________________________

Relationship__________________

Name ______________________________________

Relationship__________________

I certify that I have read and understand the Financial Aid Consent for Student Release of Information form.

I also certify that I understand the FERPA form will remain in effect while enrolled at Methodist University unless I

provide a revised FERPA form in person to the Office of Financial Aid.

____________________________________

_______________________

____________

Student Signature

* Student ID Number

Date

* When calls are received by our office, we are unable to release information without proper

identifiers. Callers must provide their name, relationship to student, students name and

student ID number in order to be given any information.

Please detach and return the white copy to Methodist University. Retain the yellow copy for your records.

Methodist University

Office of Financial Aid

5400 Ramsey Street

Fayetteville, NC 28311

White Copy - Financial Aid

Yellow copy - Student

Revised 12/09/2014

Ferpa Form For Student'S Consent To Release Financial Aid Information

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