FERPA Restriction Form
PLEASE RESTRICT ALL INFORMATION ON MY RECORDS AT ICC. I DO NOT WANT ANY
INFORMATION RELEASED WITHOUT MY APPROVAL.
I understand by completing this form I will be required to complete all academic
actions through my MyICC (eServices) account or in person with a photo ID. This
includes asking questions pertaining to my academic and financial records, adding
and dropping classes, requesting password resets, etc.
By typing your name above, you are signing this form electronically. You agree your
electronic signature is the legal equivalent of your manual signature on this form.