Fillable STUDENT REQUEST TO VIEW OFFICIAL EDUCATION RECORD (Indiana University Southeast)

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STUDENT REQUEST TO VIEW OFFICIAL EDUCATION RECORD (Indiana University Southeast)

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File type: PDF

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Office of the Vice Chancellor for Student Affairs
Indiana University Southeast
Title or description of Official Education Record you want to review:
Location, if known, of Official Education Record:
Explanation of the reason you want to review this Official Education Record:
Person to whom the information may be disclosed:
Student Name: I.D.:
Student Signature: Date*:
*Per FERPA guidelines, IU Southeast has established procedures to respond to a request for access to
education records within a reasonable period of time, but in no case no more than 45 calendar days after
the request has been made.
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For Office of Student Affairs Use
Date Request Received:
Date Student Notified of Record Availability:
Date Student Reviewed Record:
File Review Monitor:
Acknowledgement of Completion
of Review—Student Signature:
Student Affairs 12/08
STUDENT REQUEST TO VIEW OFFICIAL EDUCATION RECORD
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STUDENT REQUEST TO VIEW OFFICIAL EDUCATION RECORD (Indiana University Southeast)

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Completed 21 August 2020

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