Student Affairs Information Release Authorization
Federal law clearly defines a students right to privacy and confidentiality and strictly limits the disclosure of any information from student records. Only directory information may be released. NO other information relating to student records may be released. The Federal government clearly defines directory information as name, current address, telephone number, major dates of attendance, and degrees and honors received.
It is the policy of the David Geffen School of Medicine at UCLA to provide the telephone numbers and addresses of medical students only for official business, i.e. to course chairs for school-related business; to the Association of American Medical Colleges, etc. The David Geffen School of Medicine at UCLA will not release any students telephone number or address to businesses or individuals for any other purpose.
It is the policy of the David Geffen School of Medicine at UCLA to confirm major, dates of attendance, expected date of graduation, and honors received.
Your rights under the Family Rights and Privacy Act (FERPA) are the following:
- You have the right to inspect and review your education records*.
- You have the right to seek to amend your education records.
- You have the right to control the release of information from your education records, except for official David Geffen School of Medicine at UCLA educational business.
Note: The Privacy Release Section on the UCLA Address Change (main campus) form is separate from this authorization form. Please read carefully before selecting a level of privacy.
*Signed waivers to review letters of recomendation, etc., void rights to review where applicable.
