Waiver to Release Educational Records rev3/17/2020
Access and Enrollment Services
Waiver to Release Educational Records
I understand that by signing this authorization, I am waiving my rights of nondisclosure of these records
under federal law only to the person(s)/organization(s) specifically listed (see below FERPA LAW). This
release does not permit the disclosure of these records to any other persons without my written consent
or as permitted by law.
I further understand that I do not have to consent to this disclosure and that I may revoke the
authorization by sending a written cancellation of this authorization to the University of the Virgin Islands.
I further understand that I must be the person to submit the waiver by presenting a valid
identification to the Office of Access and Enrollment upon submission of this form.
Note: The Family Educational Rights and Privacy Act (20 U.S.C. § 1232g; 34 CFR Part 99), as revised,
states (a) An educational agency or institution may disclose personally identifiable information from an
education record of a student without the written consent of the parent of the student or the eligible
student if (1) The disclosure is to other school officials, including teachers, within the agency or institution
has determined to have legitimate educational interests. (2) The disclosure is to officials of another
school or school system in which the student seeks or intends to enroll.
I ____________________________, ID no. _______________ give permission to my
parent(s) _____________________ and ___________________________to view my
academic information and documents while I am enrolled as a student at the University
of the Virgin Islands.
This permit remains in effect until I provide the University with written notice of its
Student: ___________________________________
Signature: __________________________________
Date: ______________________________________
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