The
Personal Record Access Form
In accordance with the Family
Educational Rights and Privacy Act of 1974, as amended, “eligible students” are
entitled to access official educational records directly related to the
student, including the right of inspection and review. “Eligible
students” are those students who have reached the age of 18 and/or attends a
school beyond the high school/secondary level. Requests for records kept in Enrollment
Services should be directed to Enrollment Services in accordance with
University regulations. Student Conduct
records may be requested by contacting the Office of the Vice President for
Student Affairs at (405) 974-2361. (Parents of a dependent student as defined
in Section 152 of the Internal Revenue Code of 1954 are entitled to access to
official educational records of that student.)
Access Rights
The right of access includes:
1. The right to a list of the types of
educational records maintained by the institution and directly related to
students;
2. The right to inspect and review the content
of those records;
3. The right to obtain copies of those records,
which may be at the expense of the eligible student or parent. Parents of a dependent student as defined in Section 152
of the Internal Revenue Code of 1954 are entitled to access to official
educational records of that student;
4. The right to a response from the institution
to reasonable requests for explanations and interpretations of those records;
5. The right to inspect and review or to be
informed of specific information about themselves which is contained in any
material or document on more than one (1) student.
6. The right to an opportunity for a hearing to
challenge the content of those records.
If a student wishes to review, access,
and/or make a copy of a record in their file, then the student must complete
this form.
ACCESS PROTOCOL
Please state requested information to be accessed.
____________________________________________________________________________________________
____________________________________________________________________________________________
Please state the reason for the release of such
information.
____________________________________________________________________________________________
Please circle the medium in
which the information will be accessed: Visual or Copy
Copies—$0.10
per page
Student Name (PRINT):___________________________________________
Student
Signature:________________________________________________ Date:________________
______________________ ____________________ _________________________
Student Banner ID# Date
of Birth
Social Security Number
Parent/Guardian Name (PRINT):___________________________________
Parent Signature:________________________________________________ Date:________________
“FOR UNIVERSITY DEPARTMENTAL USE ONLY”
Authorized by (PRINT):_____________________________________ Department:__________________________
Signature:_________________________________________________ Date:________________________________