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Confidentiality Forms

Agreement with External Research Organization

FERPA authorizes the disclosure of student education records without prior written consent to organizations conducting research studies on behalf of the University, provided there is a written agreement between the University and the research organization. This form serves as a template written agreement for use with external research organizations.

Download Agreement with External Research Organization Template

Student Consent for Release of Information to Third Parties

Students may choose to allow the release of their education records to specified third parties by completing this form. The Consent for Release of Information is a one-time authorization specific to the details of the request only. The University reserves the right to review and respond to requests for release of education records on a case-by-case basis.

Download Student Consent for Release of Information to Third Parties

Letter of Recommendation Request

Students requesting references for employment or other purposes from faculty and/or staff must make this request in writing so that proper consent can be collected. If written consent is not received, faculty and staff are limited to providing only directory information and personal observances of the student.

Students may also waive their right to review the letter of recommendation. The waiver is permanent and may not be withdrawn.

The Request for Letter of Recommendation form should be completed and delivered in person, faxed, mailed or emailed as an attachment from the student's psu.edu email address to the faculty or staff member providing the recommendation. A separate form should be completed for each request.

Download Request for Letter of Recommendation Form

Request to Release Directory Information

Students may reverse a request to withhold directory information by submitting a request to release directory information form.

Learn More about how to Request to Release Directory Information

Request to Withhold Directory Information

All students may request that directory information not be released publicly by completing a request to withhold directory information form. Before submitting a request to withhold directory information, students should review what services and processes will be impacted. Requests to withhold directory information are in effect until removed, in writing, by the student.

Learn More about How to Request to Withhold Directory Information

Statement of Understanding of University Policies for Student Employees

Students who are employed at Penn State may have access to student education records of other students at the University. Like all University faculty and staff, student employees are required to maintain the confidentiality and privacy of all such records during and after their employment. This form must be completed and signed by all student employees to confirm an understanding of FERPA requirements and other related policies.

Download Statement of Understanding of University Policies for Student Employees Form