Marshall University - Authorization to Release Educational Records

Marshall University - Authorization to Release Educational Records (Student Athlete)

This form authorizes Marshall University to release a student-athlete’s educational records to another college or university, typically in connection with a transfer or recruitment process. Completion of this form allows Marshall to share information related to academic standing, student conduct, and Title IX or other disciplinary matters, as required by NCAA member institutions for due diligence in evaluating prospective student-athletes. By submitting this form, the student provides written consent under the Family Educational Rights and Privacy Act (FERPA) for Marshall University to release specific educational records to the institution(s) listed. This release is valid for one calendar year from the date of submission and may be revoked in writing at any time.

Information about You

Your 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 Contact

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Institution(s) Authorized to Receive Records(Required)

Please list the full name of each college or university you are authorizing Marshall University to release your educational records to (e.g., University of Charleston, not just “UC”). Reason: This helps ensure that records are sent to the correct institution without delay or confusion.

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 Requirements

The 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 Release

I 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 Disclosure

I 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

Today's Date

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Marshall University – Authorization to Release Educational Records