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CSUDH FERPA Consent to Release Student Information Form 2020-2026 free printable template

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FER PA CONSENT TO RELEASE STUDENT INFORMATION OFFICE USE OpenOffice OF ADMISSIONS AND RECORDS (WH 290)PLACE DATE STAMP HERESTUDENT ID:PHONE NUMBER:LAST NAME:FIRST NAME:ADDRESS:CITY:STATE:ZIP CODE:THIS
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How to fill out CSUDH FERPA Consent to Release Student Information

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How to fill out CSUDH FERPA Consent to Release Student Information Form

01
Obtain the CSUDH FERPA Consent to Release Student Information Form from the CSUDH website or your academic advisor.
02
Fill out your personal information at the top of the form, including your name, student ID, and contact information.
03
Specify the person(s) to whom you are giving access to your educational records by including their names and relationship to you.
04
Indicate which specific records you are consenting to release by checking the appropriate boxes (e.g., grades, transcripts).
05
Include the reason for the consent, if applicable, or leave it blank if not required.
06
Sign and date the form to verify your consent.
07
Submit the completed form to the designated office at CSUDH, either in person or via the specified submission method.

Who needs CSUDH FERPA Consent to Release Student Information Form?

01
Students who wish to allow family members, guardians, or other third parties access to their educational records need to complete the CSUDH FERPA Consent to Release Student Information Form.
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The CSUDH FERPA Consent to Release Student Information Form is a document that allows students at California State University, Dominguez Hills (CSUDH) to grant permission for the university to share their education records with designated individuals or entities.
Students who wish to allow their education records to be disclosed to third parties, such as parents or guardians, need to file the CSUDH FERPA Consent to Release Student Information Form.
To fill out the CSUDH FERPA Consent to Release Student Information Form, students must provide their personal information, indicate the specific records to be shared, list the names of individuals authorized to receive the information, and sign and date the form.
The purpose of the CSUDH FERPA Consent to Release Student Information Form is to comply with the Family Educational Rights and Privacy Act (FERPA) by ensuring that students have control over who can access their educational records.
The information that must be reported on the CSUDH FERPA Consent to Release Student Information Form includes the student's name, student ID number, the specific educational records to be shared, the names of the individuals or entities authorized to receive the information, and the student's signature.
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