FERPA Release Form

In accordance with the Family Educational Rights and Privacy Act of 1974 as amended, it is necessary for Cornerstone University officials to obtain written consent from a student prior to releasing information from the student's financial record to most sources outside the university. FERPA policy also allows the release of directory information.

Directory information as identified by Cornerstone University includes:

  • Name
  • Dates of Attendance
  • Address
  • Degrees and Awards
  • Email Address
  • Cumulative Hours
  • Phone Number
  • Major Field of Study
  • Date and Place of Birth
  • Participation in Officially Recognized Sports
  • Weight and Height of Athletes

As an enrolled student, you have the right to restrict release of directory information. Use this form only if you do not want the above listed information released. All requests must be submitted within the first week of classes. This request will remain in effect until written notification is given to release information.

All requests for non-disclosure of directory information will be accommodated. Carefully consider the consequences of your decision to withhold directory information. If you decide that Cornerstone should not release directory information, all requests for such information from persons or organizations (prospective employers, scholarship opportunities, etc.) not specifically sanctioned by Cornerstone and federal regulation will be refused, regardless of the effect on you, and Cornerstone assumes no liability for honoring the request.

If you wish to submit a request, please print and complete the document shown below.

FERPA Directory Restriction Form