Release – Suggested Language

Release language can be added to software terms of agreement, forms or websites.

Please contact us at ferpa@gmu.edu if you would like assistance creating customized opt-in language.

Please ensure that you keep a permanent copy of the consent form for your records.

  • I consent to the disclosure of my email, phone number, and address to third parties for the purposes of  participating in course related activities, such as internship, practicums, volunteer work or other events.  I understand: (1) I have the right not to consent to the release of my student contact information, (2) the information may be released orally or in written form, and (3) that I may revoke this consent at any time.
  • I consent to the disclosure of my email, phone number, and address to third parties for the purpose of (fill in the purpose for why you want to release the student’s contact information) I understand: (1) I have the right not to consent to the release of my student contact information, (2) the information may be released orally or in written form, and (3) that I may revoke this consent at any time.

 

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