Electronic Request Authorization
The Family Educational Rights and Privacy Act (FERPA) of 1974, as amended, seeks to
guarantee both a student’s right of access to records and the confidentiality of student
information. Institutions may not disclose information contained in education records
without the student’s written consent except under certain conditions. A student’s record
may be released through the written consent of the student.
Last Name First Name
Middle Name or Initial GWid
Email Address Phone Number
I hereby authorize the release of my information as stated in the electronic request for:
Office of the
Registrar
Colonial Central
800 21st Street, NW
Marvin Center
Ground Floor
Washington, DC
20052
Phone:
(202) 994-4900
Fax:
(202) 994-3445
Email:
registrar@gwu.edu
Certification Services Request*
The student making the request must include a legible copy of their photo ID. The authorized
individual
must bring his or her photo ID when submitting the form(s) or picking up the
requested document(s).
The following are considered appropriate forms of ID:
•
GWorld Card
•
Government Issued Passport
•
Government Issued Driver’s License/ID
Student Signature
Date
*Note:
This does not substitute as a request. The appropriate electronic request form must accompany an authorization.
Additionally, this consent form is valid for only one use.
