{"id":1246,"date":"2025-05-12T16:51:07","date_gmt":"2025-05-12T20:51:07","guid":{"rendered":"https:\/\/www.marshall.edu\/titleix\/?page_id=1246"},"modified":"2025-05-12T16:51:07","modified_gmt":"2025-05-12T20:51:07","slug":"marshall-university-authorization-to-release-educational-records","status":"publish","type":"page","link":"https:\/\/www.marshall.edu\/titleix\/marshall-university-authorization-to-release-educational-records\/","title":{"rendered":"Marshall University &#8211; Authorization to Release Educational Records"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_23' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Marshall University - Authorization to Release Educational Records for Student-Athletes<\/h2>\n                            <p class='gform_description'>This form authorizes Marshall University to release a student-athlete\u2019s educational records to another college or university in connection with transfer or recruitment processes. By completing this form, the student provides written consent under the Family Educational Rights and Privacy Act (FERPA) for Marshall University to release specified education records, including information related to academic standing, student conduct, and Title IX or other disciplinary matters, as requested by NCAA member institutions for due diligence purposes.\r\n\r\nThis authorization is valid for one (1) calendar year from the date of submission and may be revoked in writing at any time, except to the extent that action has already been taken based on this consent.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_23'  action='\/titleix\/wp-json\/wp\/v2\/pages\/1246' data-formid='23' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_23' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_23_7\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Student Information<\/h3><\/div><fieldset id=\"field_23_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Your Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_23_1'>\n                            \n                            <span id='input_23_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_23_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_1.3' id='input_23_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            <span id='input_23_1_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_23_1_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                    <input type='text' name='input_1.4' id='input_23_1_4' value=''   aria-required='false'    autocomplete=\"additional-name\" \/>\n                                                <\/span>\n                            <span id='input_23_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_23_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_1.6' id='input_23_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_23_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible text-input\"  data-field-class=\"text-input\" ><label class='gfield_label gform-field-label' for='input_23_18'>Student ID Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_23_18'>Provide your Marshall University ID Number (MUID)<\/div><div class='ginput_container ginput_container_text'><input name='input_18' id='input_23_18' type='text' value='' class='large'  aria-describedby=\"gfield_description_23_18\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_23_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Your Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_23_2'>Provide the best email address to reach you.<\/div><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_23_2_container'>\n                                <span id='input_23_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_23_2' class='gform-field-label gform-field-label--type-sub '>Email Address<\/label>\n                                    <input class='' type='email' name='input_2' id='input_23_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_23_2\" autocomplete=\"email\"\/>\n                                <\/span>\n                                <span id='input_23_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_23_2_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email Address<\/label>\n                                    <input class='' type='email' name='input_2_2' id='input_23_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_23_2\" autocomplete=\"email\"\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_23_69\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible text-input\"  data-field-class=\"text-input\" ><label class='gfield_label gform-field-label' for='input_23_69'>Dates of Attendance at Marshall University<\/label><div class='gfield_description' id='gfield_description_23_69'>Provide the approximate dates you attended Marshall University (e.g., Fall 2022 \u2013 Spring 2024).<\/div><div class='ginput_container ginput_container_text'><input name='input_69' id='input_23_69' type='text' value='' class='large'  aria-describedby=\"gfield_description_23_69\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_66\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Receiving Institution(s)<\/h3><\/div><div id=\"field_23_62\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible text-input\"  data-field-class=\"text-input\" ><label class='gfield_label gform-field-label' for='input_23_62'>Institution(s) Authorized to Receive Records<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_23_62'>List the full name of each college or university authorized to receive your records (e.g., University of Charleston, not \u201cUC\u201d). Separate multiple institutions with commas.<\/div><div class='ginput_container ginput_container_text'><input name='input_62' id='input_23_62' type='text' value='' class='large' maxlength='50' aria-describedby=\"gfield_description_23_62\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_68\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Family Educational Rights and Privacy Act (FERPA)<\/h3><div class='gsection_description' id='gfield_description_23_68'>The Family Educational Rights and Privacy Act (FERPA) is a federal law that protects the privacy of student education records. Under FERPA, Marshall University may not disclose education records without a student\u2019s written consent, except as permitted by law. By completing this form, you are providing consent for the release of the records described below.<\/div><\/div><div id=\"field_23_58\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">NCAA Member Institution Requirements<\/h3><div class='gsection_description' id='gfield_description_23_58'>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.<\/div><\/div><fieldset id=\"field_23_48\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Scope of Release<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_48.1' id='input_23_48_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_23_48_1' >I authorize Marshall University to release the following information from my education records to the institution(s) listed above:  1) Any Title IX or related student disciplinary proceedings involving sexual, interpersonal, or other acts of violence   2) Any criminal conviction for sexual, interpersonal, or other acts of violence (if maintained in my education records)   3) Any pending Title IX or related disciplinary matters at the time of my separation from Marshall University    I also authorize Marshall University to make reasonable inquiries necessary to comply with applicable law or institutional policy, which may include verifying information through appropriate records or processes.  This authorization applies only to the categories of records described above and does not permit the release of unrelated education records.<\/label><input type='hidden' name='input_48.2' value='I authorize Marshall University to release the following information from my education records to the institution(s) listed above:  1) Any Title IX or related student disciplinary proceedings involving sexual, interpersonal, or other acts of violence   2) Any criminal conviction for sexual, interpersonal, or other acts of violence (if maintained in my education records)   3) Any pending Title IX or related disciplinary matters at the time of my separation from Marshall University    I also authorize Marshall University to make reasonable inquiries necessary to comply with applicable law or institutional policy, which may include verifying information through appropriate records or processes.  This authorization applies only to the categories of records described above and does not permit the release of unrelated education records.' class='gform_hidden' \/><input type='hidden' name='input_48.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_23_65\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Student Responsibilities and Consent for Disclosure<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_65.1' id='input_23_65_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_23_65_1' >I understand that I must comply with all institutional self\u2011disclosure requirements and that this consent may be revoked in writing at any time, except for actions already taken. I acknowledge that I will not be contacted after information is shared and that admission and any athletic aid may depend on accurate completion and review of this form. Failure to comply or provide truthful information may result in denial of admission or disciplinary action at Marshall University, including dismissal. I confirm that I completed this form, understand its contents, and agree to its terms.<\/label><input type='hidden' name='input_65.2' value='I understand that I must comply with all institutional self\u2011disclosure requirements and that this consent may be revoked in writing at any time, except for actions already taken. I acknowledge that I will not be contacted after information is shared and that admission and any athletic aid may depend on accurate completion and review of this form. Failure to comply or provide truthful information may result in denial of admission or disciplinary action at Marshall University, including dismissal. I confirm that I completed this form, understand its contents, and agree to its terms.' class='gform_hidden' \/><input type='hidden' name='input_65.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_23_56\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Your Electronic Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_23_56'>This is your electronic signature agreeing to the release of your educational records to the institutions that you listed above. Typed name constitutes your electronic signature.<\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_23_56'>\n                            \n                            <span id='input_23_56_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_23_56_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_56.3' id='input_23_56_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            <span id='input_23_56_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_23_56_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                    <input type='text' name='input_56.4' id='input_23_56_4' value=''   aria-required='false'    autocomplete=\"additional-name\" \/>\n                                                <\/span>\n                            <span id='input_23_56_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_23_56_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_56.6' id='input_23_56_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_23_63\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_63'>Today&#039;s Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_63' id='input_23_63' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_23_63_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_23_63_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_23_63' class='gform_hidden' value='https:\/\/www.marshall.edu\/titleix\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_23_64\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Certification<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_64.1' id='input_23_64_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_23_64_1' >By entering my name above, I certify that I am the student completing this form and that the information provided is true and accurate. I voluntarily consent to the release of the information described in this form to the institution(s) listed. This consent remains valid for one (1) calendar year from the date of submission.<\/label><input type='hidden' name='input_64.2' value='By entering my name above, I certify that I am the student completing this form and that the information provided is true and accurate. I voluntarily consent to the release of the information described in this form to the institution(s) listed. This consent remains valid for one (1) calendar year from the date of submission.' class='gform_hidden' \/><input type='hidden' name='input_64.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_23_49\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_49'>CAPTCHA<\/label><div id='input_23_49' class='ginput_container ginput_recaptcha' data-sitekey='6LcJtEQiAAAAAP_vuQ362iVBQS2x9xrCp_cm3msg'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><div id=\"field_23_51\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Thank you for taking the time to fill out the Marshall University - Authorization to Release Educational Records for Student-Athletes Form.<\/h3><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button class=\"mx-auto inline-flex justify-center items-center space-x-2 bg-green text-white hover:text-white hover:bg-green-dark no-underline text-xl font-bold uppercase rounded-sm py-2 px-4 lg:py-3 lg:px-6 text-center transition-all duration-150 ease-in-out dark:text-gray-900 dark:hover:text-gray-900 group\"  type='submit' id='gform_submit_button_23' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' ><span>Submit<\/span><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" fill=\"none\" viewBox=\"0 0 24 24\" stroke-width=\"1.5\" stroke=\"currentColor\" class=\"opacity-0 lg:-translate-x-4 group-hover:opacity-100 w-0 group-hover:translate-x-0 transition-all duration-150 ease-in-out group-hover:w-6 h-6\"><path stroke-linecap=\"round\" stroke-linejoin=\"round\" 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