Letter of Consent to Disclose Information - Excel by tgg15634


More Info
									                                        Potential New Member Grade Checks
The student record policy of The College of New Jersey conforms to the Family Educational Rights and Privacy Act of 1974, as amended (“FERPA”). Copies of the
law may be found in the Office of records and Registration. In accordance with FERPA, The College may disclose information from the educational records of a
student provided The College has written consent from the student on file.

As indicated by my signature below, I hereby give permission for the Office of Student Activities to verify my grade point average and report to the chapters of the
Inter Greek Council whether I am academically eligible to join a Greek letter organization. This authorization will terminate one month after my dated signature.
                                                                                                                                                           (Office Use Only)
     Last Name             First Name        Student ID#         Signature           Date          Optional Release of Actual GPA                  Initial     C        G
                                                                                                By initialing this box, I give permission for my
                                                                                                 actual GPA to be shared with the Chapters.

To top