Marshall University – Authorization to Release Educational Records Marshall University - Authorization to Release Educational Records This form authorizes Marshall University to release educational records to new college or university. Please use this form to consent to authorize Marshall University to release your educational records to different institution(s).Information about YouYour Name(Required) First Middle Last Student ID Number(Required)Provide your Marshall University ID Number.Preferred Name / Pronouns(Required)List your preferred name and pronouns.Preferred Method of ContactEmailPhoneYour Email Address(Required) Email Address Confirm Email Address Your Phone(Required)List of Institution(s) for Record Release(Required)Family Educational Rights and Privacy Act (FERPA)The 1974 Family Educational Rights and Privacy Act is a federal law (20 U.S.C. 1232g) that protects the privacy of a student's education records. FERPA applies to all educational institutions receiving funds from the U.S. Department of Education, from kindergarten through higher education. Under FERPA, an educational institution may not share the contents of a student's file with anyone other than the student unless the student provides written consent to do so. Your consent is a crucial part of this process, and it ensures that your educational records are shared only with your permission or under a recognized exception. Exceptions to FERPA include but are not limited to, a health or safety emergency or an educational need to know.NCAA Member Institution RequirementsThe National Collegiate Athletic Association (NCAA) requires member institutions to exercise due diligence to identify and address Sexual Violence involving prospective student-athletes. As part of that due diligence, post-secondary institutions with NCAA athletic programs request information regarding Sexual Violence from each institution in which each prospective student-athlete has been enrolled. This information is crucial for ensuring the safety and well-being of all student-athletes.Scope of ReleaseI hereby authorize Marshall University to release personal information and written records to the above listed institution(s) from my educational records related to the following: 1) Any Title IX or related student disciplinary proceeding for sexual, interpersonal, or other acts of violence; 2) Any criminal conviction for sexual, interpersonal, or other acts of violence; or 3) Any Title IX or student disciplinary proceeding for sexual, interpersonal, or other acts of violence that was pending when I left Marshall University. Additionally, I authorize Marshall University to conduct any other investigation(s) it deems necessary to comply with policies or any federal or state law. This authorization includes, but is not limited to, conducting a criminal background check.Student Responsibilities and Consent for DisclosureI understand that: 1) It is crucial for me to comply with any self-disclosure requirements specified by each post-secondary institution in which I may intend to enroll. 2) I have the right to revoke this consent, in writing, at any time except to the extent that action has already been taken upon this release. 3) I will not be contacted after an inquiry is made or information is released by/to Marshall University. 4) My admission to a different institution, if applicable, and the distribution of athletically related financial aid, if applicable, may be contingent upon the accurate completion, submission, and successful review of the disclosure form and related information. 5) If I fail to comply with this obligation or am not truthful in my responses, I may not be admitted to the new institution(s), and if I continue at Marshall University, I may be subject to discipline up to and including dismissal from the team and/or University and other sanctions deemed appropriate by the Title IX Office, the Office of Student Advocacy and Accountability, and the Department of Athletics. 6) I have completed this disclosure form myself, and I understand what it says and agree to its terms.Your Name(Required) First Middle Last Certify(Required) I hereby certified that my name is above and I am the student filling out this form, and my consent is true. By filling in my name above, I am voluntarily giving my consent to Marshall University’s Athletics and Title IX Offices to discuss and release written documents containing the information as requested that are involved in the information indicated above with the institution(s) listed above. This consent shall be valid for one (1) calendar year from the submission date of this form.CAPTCHAThank you for taking the time to fill out the Marshall University - Authorization to Release Educational Records Form.