{"id":1326,"date":"2025-05-30T11:42:09","date_gmt":"2025-05-30T15:42:09","guid":{"rendered":"https:\/\/www.marshall.edu\/titleix\/?page_id=1326"},"modified":"2026-03-10T06:38:16","modified_gmt":"2026-03-10T10:38:16","slug":"marshall-university-title-ix-athlete-ferpa-release-for-prior-records","status":"publish","type":"page","link":"https:\/\/www.marshall.edu\/titleix\/marshall-university-title-ix-athlete-ferpa-release-for-prior-records\/","title":{"rendered":"Marshall University Title IX Athlete FERPA Release for Prior 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 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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_19' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Marshall University Title IX Athlete FERPA Release for Prior Records<\/h2>\n                            <p class='gform_description'>This form authorizes all prior educational institutions to release personal information and written records to Marshall University.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_19'  action='\/titleix\/wp-json\/wp\/v2\/pages\/1326' data-formid='19' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_19' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_19_52\" 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\"><\/h3><div class='gsection_description' id='gfield_description_19_52'>Please use this form to Consent to authorize Marshall University to contact your prior institution to obtain information in compliance with NCAA requirements. <\/div><\/div><fieldset id=\"field_19_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' >Authorization for Release of Educational Records<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_19_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_19_48_1' >This form authorizes all prior educational institutions to release personal information and written records to Marshall University.<\/label><input type='hidden' name='input_48.2' value='This form authorizes all prior educational institutions to release personal information and written records to Marshall University.' class='gform_hidden' \/><input type='hidden' name='input_48.3' value='11' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_19_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\">Information about You<\/h3><\/div><fieldset id=\"field_19_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_19_1'>\n                            \n                            <span id='input_19_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_19_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_1.3' id='input_19_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            <span id='input_19_1_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_19_1_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                    <input type='text' name='input_1.4' id='input_19_1_4' value=''   aria-required='false'    autocomplete=\"additional-name\" \/>\n                                                <\/span>\n                            <span id='input_19_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_19_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_1.6' id='input_19_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_19_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_19_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_19_18'>Provide your Marshall University ID Number - If you do not have a MUID, just list Not Applicable (N\/A).<\/div><div class='ginput_container ginput_container_text'><input name='input_18' id='input_19_18' type='text' value='' class='large'  aria-describedby=\"gfield_description_19_18\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_19_19\" 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_19_19'>Preferred Name \/ Pronouns<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_19_19'>List your preferred name and pronouns.<\/div><div class='ginput_container ginput_container_text'><input name='input_19' id='input_19_19' type='text' value='' class='large'  aria-describedby=\"gfield_description_19_19\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_19_11\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_19_11'>Preferred Method of Contact<\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_19_11' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Email' >Email<\/option><option value='Phone' >Phone<\/option><\/select><\/div><\/div><fieldset id=\"field_19_2\" class=\"gfield gfield--type-email gfield--input-type-email 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 Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_19_2_container'>\n                                <span id='input_19_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_19_2' class='gform-field-label gform-field-label--type-sub '>Email Address<\/label>\n                                    <input class='' type='email' name='input_2' id='input_19_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <span id='input_19_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_19_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_19_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_19_5\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_19_5'>Your Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_19_5' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"tel\" \/><\/div><\/div><div id=\"field_19_57\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_19_57'>Prior Insitutions to Contact<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_19_57'>List all prior institutions you attended. <\/div><div class='ginput_container ginput_container_phone'><input name='input_57' id='input_19_57' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_19_57\" autocomplete=\"tel\" \/><\/div><\/div><div id=\"field_19_8\" 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_19_8'>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.<\/div><\/div><div id=\"field_19_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_19_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_19_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' >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_64.1' id='input_19_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_19_64_1' >I hereby authorize all prior educational institutions I have attended, including secondary and post-secondary schools, to release personal information and written records to Marshall University from my educational record 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 the institution. Additionally, I authorize Marshall University to conduct any other investigation(s) it deems necessary to comply with the policies or any federal or state law. This authorization includes but is not limited to, conducting a criminal background check.<\/label><input type='hidden' name='input_64.2' value='I hereby authorize all prior educational institutions I have attended, including secondary and post-secondary schools, to release personal information and written records to Marshall University from my educational record 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 the institution. Additionally, I authorize Marshall University to conduct any other investigation(s) it deems necessary to comply with the policies or any federal or state law. This authorization includes but is not limited to, conducting a criminal background check.' class='gform_hidden' \/><input type='hidden' name='input_64.3' value='11' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_19_62\" 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_62.1' id='input_19_62_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_19_62_1' >I understand that:  1)\tIt 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) \tI 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)\tI will not be contacted after an inquiry is made or information is released by\/to Marshall University.  4)\tI understand that my admission to the University, if applicable, and distribution of athletically related \ufb01nancial aid, if applicable, are contingent upon the accurate completion, submission, and successful review of the disclosure form and related information.  5)\tI understand that if I fail to comply with this obligation or am not truthful in my responses, I may not be admitted to the University, and if admitted, 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 O\ufb03ce, the O\ufb03ce of Student Advocacy and Accountability, and the Department of Athletics.  6)\tI have completed this disclosure form myself, and I understand what it says and agree to its terms.<\/label><input type='hidden' name='input_62.2' value='I understand that:  1)\tIt 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) \tI 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)\tI will not be contacted after an inquiry is made or information is released by\/to Marshall University.  4)\tI understand that my admission to the University, if applicable, and distribution of athletically related \ufb01nancial aid, if applicable, are contingent upon the accurate completion, submission, and successful review of the disclosure form and related information.  5)\tI understand that if I fail to comply with this obligation or am not truthful in my responses, I may not be admitted to the University, and if admitted, 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 O\ufb03ce, the O\ufb03ce of Student Advocacy and Accountability, and the Department of Athletics.  6)\tI have completed this disclosure form myself, and I understand what it says and agree to its terms.' class='gform_hidden' \/><input type='hidden' name='input_62.3' value='11' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_19_56\" class=\"gfield gfield--type-name gfield--input-type-name 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' >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_19_56'>\n                            \n                            <span id='input_19_56_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_19_56_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_56.3' id='input_19_56_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            <span id='input_19_56_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_19_56_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                    <input type='text' name='input_56.4' id='input_19_56_4' value=''   aria-required='false'    autocomplete=\"additional-name\" \/>\n                                                <\/span>\n                            <span id='input_19_56_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_19_56_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_56.6' id='input_19_56_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_19_63\" 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' >Certify<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_63.1' id='input_19_63_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_19_63_1' >I hereby certified that my name is above and I am the student filling out this form, and my consent is true. By filling in my name above, I am voluntarily giving my consent to Marshall University\u2019s Athletics and Title IX Offices to discuss and receive written documents containing the information as requested that are involved in the information indicated above with the institutions listed above. This consent shall be valid for one (1) calendar year from the submission date of this form.<\/label><input type='hidden' name='input_63.2' value='I hereby certified that my name is above and I am the student filling out this form, and my consent is true. By filling in my name above, I am voluntarily giving my consent to Marshall University\u2019s Athletics and Title IX Offices to discuss and receive written documents containing the information as requested that are involved in the information indicated above with the institutions listed above. This consent shall be valid for one (1) calendar year from the submission date of this form.' class='gform_hidden' \/><input type='hidden' name='input_63.3' value='11' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_19_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_19_49'>CAPTCHA<\/label><div id='input_19_49' class='ginput_container ginput_recaptcha' data-sitekey='6LcJtEQiAAAAAP_vuQ362iVBQS2x9xrCp_cm3msg'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><div id=\"field_19_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 Sexual Violence and Other Serious Misconduct FERPA Release of Information 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_19' 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\" 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