RUNNING START
RELEASE OF INFORMATION
greenriver.edu/runningstart • 12401 SE 320th St., Auburn, WA 98092
runningstart@greenriver.edu • (253) 833-9111 Ext. 2674 • (253) 288-3324 FAX
Note: This release form is valid only in the department for which it is signed. A separate release form is required in other
campus departments (i.e. Enrollment Services, Financial Aid, Career and Advising, instructional divisions, etc.).
Family Educational Rights and Privacy Act of 1974 (FERPA)
GRC student educational records are maintained according to the Family Educational Rights and Privacy Act of 1974 (FERPA).
As provided by FERPA, whenever a student is attending an institution of postsecondary education (regardless of age or
dependent status) the permission or consent required of and the rights accorded to the parents shall thereafter only be
required of and accorded to the student.
Release of Information– Students must sign a release in order to have their educational records released to third parties or
to authorize third parties to conduct registration activities/transactions on behalf of the student. Information may be released to
a third party without student’s consent if 1) information is requested officially by means of a subpoena, court order or legal
report or 2) information is designated “directory information”. Additionally, Congress requires student information to be
released to military recruiters if officially requested.
Ref: 20 U.S.C. 1232g, TITLE 20 - - Education, Chapter 31, Part 4, Section 1232g, subsection (7), (d)
Student ID#________________________________
I, give permission to the Running Start Office to
(Student’s full legal name)
release my educational records to____________________________________________________________,
(Name of third party or parties)
for the period of and as indicated:
(Please check one) Indefinitely or until rescinded by me in writing.
Start Date: End Date:
For the duration of my participation in the Running Start Program.
I further understand that I may rescind my permission at any time and may do so only in writing.
Student’s Signature: Date:
Office Use Only:
Processed By: ____________________________ Date Received: _____________
This document is available in alternative formats to individuals with disabilities by contacting Disability Support Services at 253-833-9111, ext. 2631;
TTY 253-288-3359; or by email at dss@greenriver.edu. Green River College is an equal opportunity educator and employer.
Learn more at www.greenriver.edu/accessibility.
