Understanding the intricacies of safeguarding personal information within the educational sector is increasingly important in an era where privacy concerns are at the forefront of many students' minds. The Arc 011 form plays a pivotal role in this context, serving as a key document for students who wish to exercise their right to privacy under the Family Educational Rights and Privacy Act of 1974 (FERPA). This legislation enables students to object to the release of their 'directory information' to entities outside the educational institution without their explicit, written consent. By submitting the Arc 011 form, students effectively place a comprehensive restriction on the dissemination of their personal data, which includes details such as their name, contact information, date and place of birth, academic achievements, and even their participation in school activities. It is crucial that this form is submitted within a specified timeframe each term to ensure the privacy request remains active, highlighting the importance of timeliness in the protection of student privacy. Additionally, the Lone Star College System emphasizes its commitment to nondiscrimination in providing equal opportunities, reinforcing the inclusive nature of the privacy protections offered through the Arc 011 form.
| Question | Answer |
|---|---|
| Form Name | Form Arc 011 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | FERPA_form lonestar college ferpa form |
FERPA PRIVACY REQUEST FORM
As stated in the college catalog, and in accordance with The Family Educational Rights and Privacy Act of 1974, any student objecting to the release of personal ‘directory information’ must notify the admissions office in writing as soon as possible during each term of enrollment with the institution. By completing and submitting this form you will meet that requirement and ‘directory information’ will not be released to any other party not representing or in partnership with LSCS without your specific written consent. By submitting this form you are placing a total block on the release of: your name, address, telephone listing(s), date of birth, place of birth, major field(s) of study, participation in officially recognized activities and sports, semesters/hours enrolled, degrees, certificates and awards received, as well as the most recent previous educational agency or institution that you have attended.
Privacy request is for the following academic term (choose only one):
Spring___________________ Summer __________________ Fall ___________________
(Year) |
(Year) |
(Year) |
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Print your name: |
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________________________________ |
_________________________________ |
_____ |
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Last Name |
First Name |
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MI |
LSCS Student ID#: _____________ |
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Signature___________________________________________ |
Date_______________ |
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mm/dd/year |
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NOTE: This form should be submitted before the official day of record during each term for the hold to remain in effect. Students with extenuating circumstances may request a privacy hold after the official day of record with the approval of the college designee responsible for processing the form at their particular location.
The Lone Star College System provides equal employment, admission and educational |
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opportunities without regard to race, color, religion, national origin, sex, age or disability. |
05/08 |