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:
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
