Student SID: _______________
Student Name: ________________________________
Semester (ex Spring2020): ________________
F
F
E
E
R
R
P
P
A
A
R
R
E
E
L
L
E
E
A
A
S
S
E
E
F
F
O
O
R
R
M
M
B
B
_
_
S
S
_
_
I
I
D
D
_
_
R
R
E
E
C
C
O
O
R
R
D
D
S
S
R
R
E
E
L
L
E
E
A
A
S
S
E
E
Complete form and submit form from your Student Email Account, along with a copy of your
State issued Driver’s License or State ID photo ID to Admissions.CCA@CCAurora.edu. Forms
received from personal email or without proper photo identification will be denied.
This FERPA Records Release will expire twelve months after submission. Students must renew
FERPA releases every twelve months. Please read the information on this form before submitting.
Please provide information from my records to the following individuals or organization:
Name of Individual or Organization and Relationship:
__________________________________ __________________________________
__________________________________ __________________________________
The type of information that is requested under this consent is:
___Financial Aid Information
___Cashier’s Information (payments made or due, current bill, billing summary, etc.)
___Academic Records Information
___ Classroom Progress
___All Records
W
HAT IS FERPA?
The Family Educational Rights and Privacy Act of 1974 prohibits access to or release of education records or
personally identifiable information contained in such records (other than directory information) without the
written consent of the student or as specified by other exceptions such as subpoenas and court orders.
(Refer to current CCA catalog for further information.)
WHAT TYPES OF INFORMATION WILL BE RELEASED TO THE DESIGNATED PARTIES IF I SIGN THIS
RELEASE?
If you the student submit this form, the person or organization you have given access to will be able to
discuss your records or student accounts with representatives of the Community College of Aurora without
providing your written consent each time. Records information such as financial aid status and requirements,
advising notes, admissions, grades and other academic records as you indicated at the top of this form. You
only need to submit this form if you want to give someone else outside of the college, access to your
educational records. Note that the person(s) you grant access to your files are able to see your records but
they are NOT allowed to perform actions at the college on your behalf. You may change your mind at any
time by notifying us in writing that you wish to cancel this FERPA Records Release.
W
HAT INFORMATION DOES THE COMMUNITY COLLEGE OF AURORA CONSIDER DIRECTORY
INFORMATION?
Your name and current enrollment status at CCA are considered public information. CCA will respond to
inquiries in this regard, whether they are made in person, by phone, or in writing. You can prevent disclosure
of this information by filing a written request with the Office of Enrollment Services.
The f
ollowing items may appear in College directories and publications or be disclosed by staff to anyone
inquiring in person, by phone, or in writing: Student name, year of birth, major field of study, participation in
officially recognized activities and sports, dates of attendance (semester, not individual class dates), degrees
and awards received, most recent educational institution attended, and college issued e-mail address.
Y
our name may be released for graduation lists, special awards, honors, and events to the news media. In
accordance with the Solomon Amendment, the College must also provide your enrollment and address
information to military recruiters. Other information contained in your records is considered private and not
open to the public without your written consent.
