Get Consent To Release Student Information - Brockport - Brockport

Filling out the Consent to Release Student Information form is a crucial step for students at The College at Brockport who wish to permit the disclosure of their academic records to specific individuals. This guide will provide you with clear, step-by-step instructions to complete the form accurately.

Follow the steps to successfully fill out the form online.

1. Press the ‘Get Form’ button to access the form and open it in your document editor.
2. Begin by entering your full name in the 'Student Name (print)' field to clearly identify yourself.
3. Input your Banner ID in the designated field, ensuring this unique identifier is accurate for proper processing.
4. Indicate your status as a student by checking one of the provided options: New Freshman, New Transfer, Returning Student, or Re-admit. This helps clarify your enrollment status.
5. Understand your rights under the Family Educational Rights and Privacy Act (FERPA) as specified in the form. This knowledge is essential for making informed decisions about who can access your records.
6. List the individuals to whom you wish to grant access to your student records in the specified areas. Each entry should include their name, relationship to you, and the last four digits of their social security number.
7. Provide your signature in the indicated area, confirming that you have read and understand the FERPA regulations and agree to the release terms.
8. Date the form in the specified field, placing the date you completed the form.
9. Be advised that The College at Brockport requires an original signature and cannot accept the form via fax. Ensure the completed form is sent to the provided address.
10. Once completed, you can save your changes, download a copy, or print the form for mailing.

Complete and submit your consent form online today to share your student information with trusted individuals.