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Information Consent Form
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The Family Educational Rights and Privacy Act (FERPA) as amended is a federal law that protects the privacy of a student’s educational records. Though FERPA gives parents/legal guardians certain rights with respect to their children’s education record, these rights transfer to the student when he/she reaches the age of 18 or attends a postsecondary institution.
Under FERPA regulations, Directory Information, such as address/telephone number, is information that may be released without a student’s consent. Disclosure of non-directory information, however, requires written permission to release to those beyond Ohio Christian University. For example, students often want to have academic and/or financial information released to their parents or spouses. This form allows you to give the required written permission.
First Name*
Middle Name
Last Name*
Birthdate*
Birthdate*
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Gender*
Female
Male
Academic Status*
Incoming Transfer
Incoming Freshman
Current Student
Academic Year*
Spring 2021
Fall 2021
Spring 2022
Fall 2022
Ohio Christian University has my consent to speak with the individual listed below:
First Name: *
Last Name: *
Phone: *
Address: *
City: *
State: *
Zip Code: *
Ohio Christian University has my consent to speak with the individual listed above concerning my:
Academic Progress: *
Academic Progress: *
Yes
No
Student Account (Financial Aid): *
Student Account (Financial Aid): *
Yes
No
Social Progress: *
Social Progress: *
Yes
No
Emergency (injury or illness): *
Emergency (injury or illness): *
Yes
No
Add another contact?
Add another contact?
Yes
No
First Name: *
Last Name: *
Phone: *
Address: *
City: *
State: *
Zip Code: *
Ohio Christian University has my consent to speak with the individual listed above concerning my:
Academic Progress: *
Academic Progress: *
Yes
No
Student Account (Financial Aid): *
Student Account (Financial Aid): *
Yes
No
Social Progress: *
Social Progress: *
Yes
No
Emergency (injury or illness): *
Emergency (injury or illness): *
Yes
No
Contractual Agreement
This consent form is valid until updated, in writing, by the student.
Digital Signature*
Digital Signature Date*
[HIDDEN] REF ID
[HIDDEN] Set opt out
Set
Unset
[HIDDEN] Assign to Admin
Abbie Ailes
Abigail Waugh
Admin Training Account
AGS Administrator Adult & Graduate Studies
AGS Enrollment
Alana Bradley
Alex Marstiller
Alexander Schneider
Alexis Rose
Alexis Spear
Allison Browning
Allison Corfield
Antonia Miller
April Penwell
Ardeo Service Account
Ashlee Schreck
Austin St. Pierre
Beliefnet Service Account
Ben Williamson
Beth Ash
Bethany Arroyo
Brandon Ritchey
Brenda Baker
Brent Martin
Brent Nolte
Brian Daria
Bridget Reitano
Brooklyn Vanderhill
Caleb Friedeman
Carlie Riffle
Casey Coons
Cassie Goodman
Cathy Cook
Christy Robison
Colling Media Service Account
Cortney Anderson
Crystal Bethel
Daniel Milota
Dave Hirschler
David Bireline
Delanie Tomlinson
DeShawn Pate
Dion Bryant
Donald Anderson
Dorenea Stewart
Dustin Epperly
EAB External Account
Education Dynamics Service Account
Elizabeth Conley
Emmanuel Harris
Evan MacDonald
Gabriella Egbert
George Arroyo
Gerald Mershimer
Google Adwords Service Account
googleads4 service SFTP
Gregory Bethea
Hannah Pratt
Isaac Parker
Jacob Grimmett
Jacob Smith
Jacob Werkmeister
Jacqueline Huff
Jake Warren
Janice Chilcote
Jared Black
Jason [Inactive] Dennis [Inactive]
Jenni Walters
Jenzabar Sonis
Jessica Patrick
Jessica Roaden
Jessie Behnke
John Bocook
Jordan Green Pfau
Josh Murton
Josh Slone
Juanita Surbaugh
Julia Lee
Kandi Holbrook
Kandice Valentine
Kasey Summerer
Kathryn Polley
Kaylee Jacobs
Kaylynn Bell
Keightley Saultz
Kellie Bernard
Kendra Messet
Kenna Blevins
Kevin Bennie
Kevin Jones
Kyle Landenberger
Lane Patrick
Lauren Ray
Layne White
Lindsey Moore
Lolita Armstrong
Lyndsey Hale
Lynn Lease
Maddie Scott
Megan Keep
Megan Shupp
Melissa Nutter
Michael Baker
Michael Blevins
Michael Burchett
Michelle Blanton
Nancy Gideon
Nathanael Armstrong
Nic Baker
Niche Marketing
Ohio Christian University Enrollment
Rachael Bailes
Rachel Fulks
Rachel Milenovic
Rachel Thomas
Reach Network Service Account
Rhonda Slark
Robin Patrick
Rodney Sones
Ross Mayo
Ryan Holbrook
Ryan Wall
Sarah Davis
Shawntell Parsons
Shay Peoples
Shirley Pollard
Stephanie Cradduck
Steve Payton
Steven Kirwin
Sydney Robertson
Technolutions Service Desk
Tenique Dennis
Teresa Woerner
Terrell Sargeant-Samuels
Tihalefo Pelotshweu
Tim Keep
Timothy Sykes
Todd Sullivan
Tyanna Craft
Veronica Madden
z - Admin 2 Summer Institute
Zach Hockenberry
Zeta Leads Service Account
[HIDDEN] Lock Staff Assign
Yes
No
Submit