Get the free FERPA NON-DISCLOSURE REQUEST FORM - Polk State College - polk

FER PA NON-DISCLOSURE REQUEST FORM REQUEST FOR NON-DISCLOSURE OF DIRECTORY AND NON-DIRECTORY INFORMATION Under the provision of FER PA, the Family Education Right to Privacy Act of 1974, you have

How to fill out ferpa non-disclosure request form

How to fill out a FERPA non-disclosure request form:

1. Contact your educational institution: Reach out to the registrar's office or the department responsible for student records at your educational institution to obtain a copy of the FERPA non-disclosure request form. They will typically have the form available in person, online, or through email.
2. Read the instructions carefully: Before filling out the form, carefully read and understand the instructions provided. Make sure you comprehend the purpose of the form and the implications of submitting it.
3. Provide personal information: Fill in the required personal information accurately. This may include your full name, student ID number, date of birth, and contact details. Double-check the information to ensure its accuracy.
4. Specify the records to be withheld: Indicate the specific records or categories of information that you wish to be withheld from disclosure. For example, you may want to request that your grades, financial information, or disciplinary records not be shared with third parties without your consent.
5. Include any relevant time restrictions: If you wish to limit the non-disclosure request to a specific period, specify the date range during which the request should remain in effect. Otherwise, you can leave this section blank if you don't want any time restrictions.
6. Provide a statement of purpose: In this section, briefly explain why you are requesting a non-disclosure. Provide any necessary details or circumstances that support your request. For example, if you believe the information could harm your personal or professional reputation, mention it here.
7. Sign and date the form: Affix your signature and date the form to confirm that the information provided is accurate to the best of your knowledge.
8. Submit the form: Once you have completed the form, follow the instructions on where to submit it. This may involve returning it in person, by mail, or through an online submission portal. Retain a copy of the completed form for your records.

Who needs a FERPA non-disclosure request form?

1. Students: If you are a student and you wish to restrict the disclosure of your educational records under the Family Educational Rights and Privacy Act (FERPA), you may need to complete and submit a FERPA non-disclosure request form.
2. Parents or legal guardians: Parents or legal guardians of students who are under the age of 18 may also need to fill out a FERPA non-disclosure request form if they want to restrict the disclosure of their child's educational records.
3. Eligible students with disabilities: Eligible students with disabilities who receive services under the Individuals with Disabilities Education Act (IDEA) may require a FERPA non-disclosure request form to limit the release of their special education records.
4. Former students: Even if you are no longer enrolled in an educational institution, you may still need a FERPA non-disclosure request form to protect the privacy of your educational records.

For pdfFiller’s FAQs

What is ferpa non-disclosure request form?

The FERPA non-disclosure request form is a document that allows students to restrict the disclosure of certain personal information under the Family Educational Rights and Privacy Act (FERPA).

Who is required to file ferpa non-disclosure request form?

Any student who wishes to keep their personal information confidential from being shared with the public or third parties is required to file the FERPA non-disclosure request form.

How to fill out ferpa non-disclosure request form?

To fill out the FERPA non-disclosure request form, students need to provide their personal information, specify the details they want to keep confidential, and sign the form.

What is the purpose of ferpa non-disclosure request form?

The purpose of the FERPA non-disclosure request form is to give students control over who can access their personal information and prevent it from being disclosed without their consent.

What information must be reported on ferpa non-disclosure request form?

The FERPA non-disclosure request form must include the student's name, student ID number, the specific information they want to keep confidential, and their signature.

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