STUDENT INFORMATION RELEASE FORM

  • RUST College is committed to the Security and Privacy of Student records in accordance to FERPA (Federal Educational Rights and Privacy Act). FERPA is a Federal law that applies to educational agencies and institutions that receive funding under a program administered by the U.S. Department of Education. In the case of person(s) having access to a student’s records not specified by FERPA, the college must: 1. Have a student’s consent prior to the disclosure of educational records. 2. Ensure that the consent is signed and dated and states the purpose of the disclosure.

  • I give permissions to Rust College to release my records to my parent(s)/guardian(s). My parent(s)/guardian(s) name(s) is/are

  • Date Format: MM slash DD slash YYYY