Student consent is required for the release of personally identifiable information such as semester grades, academic record, class schedule, current academic standing, student ID and/or Social Security number.
Students may consent to the release of personally identifiable information to others by completing this form. The Family Educational Rights and Privacy Act of 1974 (FERPA) allows disclosure of personally identifiable information without student consent to:
Florida Institute of Technology
Office of the Registrar
150 West University Boulevard, Melbourne, FL 32901-6975
(321) 674 +ext.
Fax (321) 674-7827
General Information – ext. 8115
Graduation – ext. 8116
Records and Transcripts – ext. 8117
Registration – ext. 8118
Office of the Registrar Use Only
Operator Initials ___________________________
Date Processed ____________________________
certain government agencies/officials, sponsoring agencies, outside contractors performing a service for the institution that the institution would otherwise perform for itself, National Science Foundation surveys as authorized by Congress, subpoenas/court orders, select law enforcement agencies, and selected school officials on a need to know basis who have defined legitimate educational interest in such records.
This request will remain in effect indefinitely, until the student named below notifies the Office of the Registrar otherwise in writing.
I give permission for the individual(s) named below to request in writing copies of my academic grades and transcript (fee required for official transcript), financial status, payment information and other personally identifiable information contained in my university records. University policy requires a written request to obtain these documents.