Family Educational Rights and Privacy Act (FERPA)

STATEMENT OF UNDERSTANDING
OF THE FAMILY EDUCATIONAL RIGHTS AND PRIVACY ACT OF 1974, AS AMENDED

I understand that by virtue of my employment with ________________________ at Case Western Reserve University, I may have access to records which contain individually identifiable information, the disclosure of which is prohibited by the Family Educational Rights and Privacy Act of 1974 as Amended. I acknowledge that I fully understand that the disclosure by me of this information to any unauthorized person, could subject the University to sanctions imposed by the Secretary of the United States Department of Health, Education and Welfare. I further acknowledge that such willful or unauthorized disclosure also violates Case Western Reserve University's policy and may constitute just cause for disciplinary action (including expulsion) and termination of my employment.

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DateEmployee's NameEmployee's Signature


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DateSupervisor's NameSupervisor's Signature