FERPA Waiver

I. Introduction

This Ferpa Waiver Agreement ("Agreement") is entered into between [STUDENT NAME], a student enrolled at [YOUR EDUCATIONAL INSTITUTION] ("Student"), and [YOUR EDUCATIONAL INSTITUTION] ("Institution"), effective as of [EFFECTIVE DATE].

II. Purpose

The purpose of this Agreement is to authorize the release of educational records protected under the Family Educational Rights and Privacy Act ("FERPA") in accordance with applicable laws and regulations.

III. Waiver Authorization

By signing this Agreement, the Student voluntarily authorizes [YOUR EDUCATIONAL INSTITUTION] to disclose the following educational records:

• Academic transcripts

• Enrollment status

• Course schedule

• Grades and assessments

• Financial aid information

IV. Recipients of Information

The Student acknowledges and agrees that the authorized educational records may be disclosed to the following individuals or entities ("Recipients"):

• Parents or legal guardians

• Employers for verification purposes

• Scholarship committees for application review

• Other educational institutions for transfer purposes

V. Scope of Consent

The Student understands that this consent is limited to the specific educational records and Recipients listed in this Agreement. Any additional disclosure requires separate authorization.

VI. Confidentiality and Privacy

The Student acknowledges that the disclosed educational records may contain sensitive information and agrees to maintain confidentiality regarding the contents and use of such records.

VII. Revocation of Consent

The Student reserves the right to revoke this consent at any time by providing written notice to [YOUR EDUCATIONAL INSTITUTION]. However, such revocation may not apply retroactively to disclosures made prior to the revocation.

VIII. Legal Compliance

Both parties agree to comply with all applicable laws and regulations, including but not limited to FERPA, regarding the disclosure and use of educational records.

IX. Acknowledgment of Understanding

The Student acknowledges that they have read and understood the terms of this Agreement and voluntarily consent to the disclosure of their educational records as outlined herein.

X. Signatures

By signing below, the Student acknowledges their understanding of and agreement to the terms of this Ferpa Waiver Agreement.

Student Signature:

[Date]

Institution Representative Signature:

[Date]

Waiver Templates @ Template.net