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Buckley Amendment Form

Please complete this form in its entirety by selecting "yes" or "no" to indicate your desire to release confidential information, according to the Family Educational Rights and Privacy Act (FERPA).
RELEASE OF EDUCATIONAL DATA FOR UNIVERSITY HONORS
Many of the honors that are rewarded to students of the University are based in part on confidential information that cannot be released without the consent of students due to the Family Educational Rights and Privacy Act (Buckley Amendment).
It is also necessary to have some confidential information in order to determine those students who are eligible to run for various offices and positions.
Faculty members with a legitimate educational interest are entitled to view and receive confidential information (such as grade point averages).
Students are not permitted to view or receive records of other students without the consent of the owner of the records. The same is true for most other parties associated with awards organizations (such as Who’s Who).
Students who wish to be considered for such awards and elections would be better served if they provided consent for the release of their educational records to parties responsible for making decisions concerning such awards and honors.
All students who so desire are being asked to indicate below by checking the function for which he/she is willing to have confidential information released.
Functions
Election to Office in Student Organizations:
*
Candidate for Miss ASU Contest:
*
Sports Organization:
*
Who's Who:
*
Honor Societies:
*
Fraternity and Sorority Membership Intake:
*
Academic Honor Roll:
*
Committee on Student Affairs:
*
University Committees:
*
Financial Aid/Employment Applications:
*
Acknowledgement
I have read the above statement and I am willing to waive privacy of my educational records for the purpose(s) checked "yes."
*
*
*
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