FERPA INFORMATION RELEASE FORM (optional)
Under the provisions of the Family Education Rights and Privacy Act of 1974 (FERPA), non-directory information pertaining to the student's educational record can only be released to the student, unless the student gives the Academy written permission to release this information to others.

By signing this form, you are giving MMA permission to discuss specific elements of your educational records with designated individuals.  This permission is optional and will remain in effect for as long as you are enrolled at MMA, or until you notify us in writing that you wish to cancel this permission.

You are only granting permission for the Office of Student Financial Services to discuss your financial records with these individuals.  This form does not encompass academic records (grades, class schedules, etc.) nor does it encompass health or disciplinary records from COMCAD, or any other student records at MMA.

Completion of this form must be done through your MMA email account.  Requests for outside email accounts will not be accepted.
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Email *
Student First Name *
Student Last Name *
Student MMA ID *
I hereby give my permission to Massachusetts Maritime Academy to discuss the information checked below with the following individuals:
Individual #1
Relationship of Individual #1 to student
Clear selection
Individual #2
Relationship of Individual #2 to student
Clear selection
Individual #3
Relationship of Individual #3 to student
Clear selection
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