Get the free Authorization for the Release of Non-Directory Student Information - niu

This document authorizes the disclosure of education records and non-directory information from Northern Illinois University for the purpose of clinical placement and employment opportunities.

How to fill out authorization for form release

How to fill out Authorization for the Release of Non-Directory Student Information

1. Obtain the Authorization for the Release of Non-Directory Student Information form from your educational institution.
2. Fill in the student's full name and identification number at the top of the form.
3. Specify the information you wish to be released by checking the appropriate boxes or writing a description.
4. Indicate the purpose for which the information is being released.
5. Provide the name and contact information of the individual or organization to whom the information will be released.
6. Sign and date the form to authorize the release of information.
7. If required, have the form witnessed or notarized according to your institution's guidelines.
8. Submit the completed form to the appropriate office at your educational institution.

Who needs Authorization for the Release of Non-Directory Student Information?

1. Students who wish to allow specific third parties access to their non-directory information.
2. Parents or guardians who need to access their child's non-directory information with the student's permission.
3. Educational institutions that require documentation for compliance with privacy regulations.
4. Employers or agencies that need to verify educational information of a student with consent.

People Also Ask about

How do I opt out of FERPA directory information?

How to Opt Out: Parents can opt out by calling their school and requesting a directory information (or FERPA, pronounced “fer-puh”) opt out form from their child's school. Some schools put opt out forms on the school web site. Parents should act as soon as possible to make sure they do not miss their opportunity.

Which of the following types of information may schools disclose without consent?

(a) Directory information includes, but is not limited to, the student's name; address; telephone listing; electronic mail address; photograph; date and place of birth; major field of study; grade level; enrollment status (e.g., undergraduate or graduate, full-time or part-time); dates of attendance; participation in

What is an authorization to release student records?

FERPA requires that a consent for disclosure of education records be signed and dated, specify the records that may be disclosed, state the purpose of the disclosure, and identify the party or class of parties to whom the disclosure may be made.

What student directory information can be disclosed without consent?

Directory information is information in a student's education record that may be disclosed to outside organizations without a student's prior written consent. Directory information includes student's name, address, telephone number, email, date and place of birth, honors and awards, and dates of attendance.

What are examples of directory information that can be disclosed without consent?

Answer. ing to the Family Educational Rights and Privacy Act (FERPA), schools may disclose, without consent, "directory" information such as a student's name, address, telephone number, date and place of birth, honors and awards, and dates of attendance.

What school records are confidential?

The general rule under the Privacy Act is that an agency cannot disclose a record contained in a system of records unless the individual to whom the record pertains gives prior written consent to the disclosure.

What does release directory info mean?

Directory information is information contained in the education records of a student that would not generally be considered harmful or an invasion of privacy if disclosed.

For pdfFiller’s FAQs

What is Authorization for the Release of Non-Directory Student Information?

The Authorization for the Release of Non-Directory Student Information is a legal document that allows educational institutions to share a student's private and sensitive information, such as grades, academic performance, and personal details, with designated individuals or entities.

Who is required to file Authorization for the Release of Non-Directory Student Information?

Students or their guardians are typically required to file the Authorization for the Release of Non-Directory Student Information when they wish to allow specific parties, such as parents or third parties, access to their non-directory information.

How to fill out Authorization for the Release of Non-Directory Student Information?

To fill out the Authorization for the Release of Non-Directory Student Information, one must enter personal details such as the student's name, identification number, the specific information to be released, the names of the authorized individuals, and date of authorization. It may also require a signature from the student or guardian.

What is the purpose of Authorization for the Release of Non-Directory Student Information?

The purpose of the Authorization for the Release of Non-Directory Student Information is to protect the privacy of students while allowing them to share sensitive information with specified individuals or organizations, ensuring that such information is not disclosed without explicit permission.

What information must be reported on Authorization for the Release of Non-Directory Student Information?

The information that must be reported typically includes the student's full name, student ID, specific types of non-directory information to be released, names of individuals authorized to receive the information, and any limitations or conditions of the authorization.