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WOU Financial Aid Office
140 Welcome Center, 345 Monmouth Ave N ● Monmouth, OR 97361 ● Tel: 503-838-8475 ● Fax: 503-838-8200 ● wou.edu/finaid ● finaid@wou.edu
WOU Business Services Office
101 Administration Building, 345 Monmouth Ave N ● Monmouth, OR 97361 ● Tel: 503-838-8201 ● Fax: 503-838-8014 ● wou.edu/business ● businessoffice@wou.edu
2021-22 RELEASE OF CONFIDENTIAL INFORMATION
Financial Aid/Business Services Confidentiality and Security of Records
NOTE: Valid only for the selection made below and pertinent to 2021-22 school year. Student must complete a new form each
year they want to release their information to someone. Form will not be accepted with a computer signature.
_____________________________________________
Name of Individual or Agency
_________________________________________
_____________________________________________
Name of Individual or Agency
_________________________________________
I authorize Western Oregon University to release or discuss any of the 2021-22 school year information in
my financial aid file and/or student account with the person(s) or agency listed above. This authorization is
in effect from date of submission until June 30, 2022 unless rescinded in writing by me.
________________________________________________
Student Signature Date
PASSCODE (MM/DD/YYYY): choose a
memorable date that is not student’s date of birth
Student Name: Student ID:
Financial Aid & Business Services
Student Consent to Release Information
1) Fill out the “Release Information To” box.
a) Choose a passcode that will only be known to you and the person(s)/agency on this Release of Confidential Information Form. The
passcode will be a date—other than the student’s date of birth—that is memorable.
b) Give the passcode to the person(s)/agency you have authorized.
2) Information contained in financial aid applications (as well as conversations with the student, family or agency) is considered confidential and
will not be released to the public.
a) No information concerning the student’s application, award, eligibility, etc. (identifying the student) will be made public except as follows.
Information may be released:
i) To specific parties with the student’s permission.
ii) To a university office, other offices representing the University, the U.S. Department of Education, educational loan
servicing centers, the Oregon Student Access Commission, software providers, and other university or college financial aid
offices on a need-to-know basis without the student’s permission.
iii) To an auditor designated to audit financial aid records without the student’s permission.
iv) To any agency (e.g., the Justice Department) without the student’s permission by court orders.
v) For any other allowable reason stated in the Federal Family Educational Rights and Privacy Act of 1974
(FERPA, 1974).
3) Statistical information that does not personally identify the student will be released to any university department, governmental agency or other
outside agencies that have a valid need-to-know.
4) To ensure that information is not released to the public, before discussing any information concerning a student’s application, awards, etc., the
person requesting the information must provide positive identification and the passcode.
5) To ensure that only authorized personnel can access student aid application data in the financial aid software program
(PowerFAIDS) and Banner Student Information System program, a username and personalized password is required to log on for both
programs. Student employees who must have access to the computer records are closely supervised and can only access the system with
assistance of an authorized staff member.
6) Confidential Status established by the student through the WOU Registrar’s Office overrides all release requests on file with the Student
Accounts Office and the Office of Financial Aid and Scholarships. No information will be released while a student’s registrar record is marked
Confidential, regardless of this signed release on file.
Please select the office(s) authorized to release information:
Financial Aid & Scholarships
Business Services
