East Tennessee State University
STATEMENT OF STUDENT RECORDS CONFIDENTIALITY AND
CONFLICT OF INTEREST
As an employee, you will be working with various student record documents that are considered
privileged and confidential. These records include demographic information, personal data,
grades, financial information, etc. Student records are protected under the Family Educational
Rights and Privacy Act of 1974.
Staff employees are provided with guidelines regarding the use and release of student records.
Access is provided on an educational need to know basis. Student workers generally are not
permitted to release student information.
Staff employees often find the opportunity to be an ETSU student a beneficial and rewarding
experience. However, as students, it is considered a conflict of interest to deal with one's
personal student records. This is also true of student workers in the employ of ETSU.
In order to protect you from possible conflict of interest, at no time will employees (staff, faculty,
student workers or administrators) work with their own student records. This is also construed to
include the records of relatives and personal acquaintances which could cause one to compromise
their integrity and responsibility.
I have read the above statements and understand the guidelines regarding student records. In
addition, I understand the conflict of interest statement. I will have my supervisor or an
appropriate supervisor review, inquire, or maintain anything regarding my personal student
records (if applicable) as well as for others as state above.
I further understand failure to comply with the provisions of this Statement of Student
Records Confidentiality and Conflict of Interest may result in administrative action
including termination from the university as a student and/or employee.
Signature Print Name Date
******************************************************************************
The above captioned person is employed as a (Staff/Student Worker) in the Office
of_________________________________
(Please circle one)
Signature of Department Official Date_______________________
This form is to be kept on file in the employing department as long as any records of employment
are retained.
Revised: November 13, 2009 Accessibility Checked 9 – July – 2018
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