FERPA Consent to Release Student Information

The Family Educational Rights and Privacy Act (FERPA) is a federal law regarding the

privacy of student records and the obligations of the institution, primarily in the areas of

release of the records and the access provided to these records. Any educational institution

that receives funds under any program administered by the U.S. Secretary of Education is

bound by FERPA requirements.

Students who wish to waive their right to maintain the privacy of their personal

information must submit this completed FERPA Release Form identifying each parent,

guardian, or other person authorized to receive this information.

Berklee Online reserves the right to determine which information can be disclosed to designated parties.

Last Name:

First Name:

Student ID (if known):

Email:

Please enter your registered email address.

Please note we cannot release grades, GPA, or progress within courses.

I give permission for Berklee Online to release items selected above to the recipient below for the purpose of:

Release to:

Relationship to student:

Contact Information