A branch of Webber International University
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St. Andrews FERPA Student Form

 

Full Student Name:
Permanent Street Address:
City:
State:
Zip:
Term Entering (i.e. Fall 2013):
 

Notification of Rights under FERPA

The Family Educational Rights and Privacy Act (FERPA) afford eligible students certain rights with respect to their education records. (An “eligible student” under FERPA is a student who is 18 years of age or older or who attends a postsecondary institution and is not claimed on the parent’s taxes as a dependent) These rights include:

1. The right to inspect and review the student's education records within 45 days after the day St. Andrews University receives a request for access. A student should submit to the Registrar or Dean of Students a written request that identifies the record(s) the student wishes to inspect. The school official will make arrangements for access and notify the student of the time and place where the records may be inspected.

2. The right to request the amendment of the student’s education records that the student believes is inaccurate, misleading, or otherwise in violation of the student’s privacy rights under FERPA.

A student who wishes to ask the school to amend a record should write the school official responsible for the record, clearly identify the part of the record the student wants changed, and specify why it should be changed.

If the school decides not to amend the record as requested, the school will notify the student in writing of the decision and the student’s right to a hearing regarding the request for amendment. Additional information regarding the hearing procedures will be provided to the student when notified of the right to a hearing.

3. The right to provide written consent before the university discloses personally identifiable information (PII) from the student's education records, except to the extent that FERPA authorizes disclosure without consent.

The school discloses education records without a student’s prior written consent under the FERPA exception for disclosure to school officials with legitimate educational interests. A school official is a person employed by St. Andrews University in an administrative, supervisory, academic, research, or support staff position (including Campus Safety and Health and Wellness personnel); a person serving on the board of trustees; or a student serving on an official committee, such as a disciplinary or grievance committee. A school official also may include a volunteer or contractor outside of the University who performs an institutional service or function for which the school would otherwise use its own employees and who is under the direct control of the school with respect to the use and maintenance of PII from education records, such as an attorney, auditor, or collection agent or a student volunteering to assist another school official in performing his or her tasks. A school official has a legitimate educational interest if the official needs to review an education record in order to fulfill his or her professional responsibilities for the University.

Upon request, the school also discloses education records without consent to officials of another school in which a student seeks or intends to enroll when a student request the release in writing. The request must be in the form of a letter or on the form provided by the Registrar. All requests must be signed by the student.

A student has the right to file a complaint with the U.S. Department of Education concerning alleged failures by the [School] to comply with the requirements of FERPA. The name and address of the Office that administers FERPA is:

Family Policy Compliance Office
U.S. Department of Education
400 Maryland Avenue, SW
Washington, DC 20202

Updated August 2013

Related: Notice in Regard to Directory Information
 
Please check only ONE of the following boxes. Do not check more than one box.
A. I certify that my parents/guardians do claim me as a dependent for federal income tax purposes. I am aware that St. Andrews may disclose information from my education records, even if I do not give consent.
B. I certify that my parents/guardians do not claim me as a dependent for federal income tax purposes; However, I GIVE CONSENT so that St. Andrews may disclose information from my education records.

C. I certify that my parents/guardians do not claim me as a dependent for federal income tax purposes; However, I DO NOT GIVE CONSENT so that St. Andrews may disclose information to them from my education records.

   
COMPLETE THE FOLLOWING ONLY IF YOU HAVE CHECKED BOX “A” OR “B” ABOVE
If your parents/guardians live at the same address, please list both their names.
Parent/Guardian Name 1:
Street Address:
City:
State:
Zip:
 
Parent/Guardian Name 2:
Street Address:
City:
State:
Zip:
 
I acknowledge that by submitting this form, I am providing an electronic signature verifying that the information is correct as submitted and an accurate reflection of my consent as indicated above.

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St. Andrews University
A branch of Webber International University
1700 Dogwood Mile
Laurinburg, NC 28352
(910) 277-5555 • (800) 763-0198 • (fax) 910-277-5020
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