mily Education Rights and Privacy Act (FERPA)
For Faculty and Staff
Faculty and Staff Acknowledgement: Receipt of FERPA Information
I acknowledge that I have received the Family Education Rights and Privacy Act
(FERPA) information for faculty and staff information.
I understand that these provisions apply to all faculty members, staff members,
students, and any other persons employed by Southern University at Shreveport; to all
persons receiving funding administered by the University or receiving other
compensation from the University and to all students (traditional and non-traditional) in
any program or activity of the University.
By signing below, I verify that I have received and reviewed the FERPA information
provided by Southern University at Shreveport and agree to abide by its provisions.
Name of Employee:
Print Name
Signature of Employee:
RO: Faculty-Staff FERPA Acknowledgement Form:11/13:07/17:08/19-LR