FERPA Form

Authorization for Access to Student Records

In compliance with the Family Educational Rights and Privacy Act of 1974 (FERPA), the College protects the privacy rights of students by limiting personal information it will disclose. Unless specifically requested in writing, directory information may be disclosed to the public without student consent. Directory information includes:

  • Student name
  • Parent names
  • Address
  • Telephone number
  • Date and place of birth
  • Enrollment status
  • Dates of enrollment
  • Degree(s) and award(s) received
  • Major field of study
  • Most recent attendance of previous educational institution(s)
  • Anticipated graduation date

By submitting this form, you agree that College personnel may provide any information from your student records, beyond that considered directory information, to your custodial parents or other outside constituencies. Note that written consent is not required to release non-directory information to relevant College employees, representatives of federal and state agencies, accrediting organizations, or custodial parents of dependent students.

direct any questions regarding FERPA and Student Records to the Registrar's Office.

Name*
This six-digit number appears in the upper left corner of the Student Portal below your name.
Please only use your tkc.edu email address. All official college business is transmitted to your TKC email account.
I authorize The King's College to release information from all of my Student Records.*

I authorize The King's College to release information from only the following record(s):

Financial Aid Records (financial aid award letters, etc.)*
Academic Records (grades, etc.)*
Student Accounts Records (billing, etc.)*
Other If you have checked other, please explain below.

Identity of Recipient(s) of Record(s):

Recipient 1*
Recipient 2

Authorization

By electronically signing my full name below, I verify the above information is true and correct. My consent to disclose information in my Student Records or my request to keep my Student Records confidential will be noted in the Student Information System. It will be effective from the date of the form until I graduate or withdraw from the College, unless otherwise indicated. This authorization may be revised or rescinded by submitting a subsequent written statement to the Registrar's Office.

Use your mouse or finger to draw your signature above
Date Effective*
Date from which this release of records is effective.
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