Report FERPA Concern

Report FERPA Concern

Once a FERPA concern has been reported, an investigation / review process will begin. The individual filing the concern may be contracted for additional information or conversation and those listed as involved in the incident(s) or action(s) may also be contacted.

Completion of this process does not imply that the reported incident violated FERPA. This form allows individuals to report potential FERPA concerns for review and follow-up.

Academic Year

Full Name (Reporter)*

Please list your full name.

Title (Reporter)

Please list your title.

Noorda Email

Please list your Noorda email.

Potential Violation Date*

Please list the date you believe or know the potential violation occured.

Description of the Potential Violation

Please describe (in detail) the potential violation giving context, background, and specific details.

Names of Students

Please list the names of the students who records were breached. Please include their Noorda Student Numbers.

Receiver of Unauthorized Access*

Specify the names, titles and affiliation of the party/parties who received unauthorized access to the student records.

Situation Discovery Details*

Please describe how the potential FERPA breach was discovered.

Corrective Steps*

Please describe the corrective steps taken.

Future Avoidance*

Please describe (in detail) the steps initiated to avoid any similar situations in the future.

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