Student Accounts



STUDENT ACCOUNTS OFFICE
167 Lake Michigan Hall
1 Campus Drive
Allendale, MI 49401

Phone: 616-331-2209
800-789-1923
Fax: 616-331-3975

FERPA - Family and Educational Rights and Privacy Act

To assist the Student Accounts Office, in their efforts to comply with the Family and Educational Rights and Privacy Act of 1974, (FERPA), I hereby give them written permission to discuss my account with the following people.

All fields are required. Date: 11-23-2009
FERPA protects the educational records of the student. Please call 616-331-2209 with any questions.
Your Name (first and last)
Your Email address
Re-enter your Email address
G Number (GXXXXXXXX)
Telephone with area code
You may release/discuss financial information regarding my account with the following people:
Parent:
Parent's Name(s):
Spouse:
Spouse's Name:
Other:
Other's Name(s):
Student Signature or 10 digit pin #
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