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1. Student Information: Basic identifying information about the student including full name, student ID, date of birth, and current program/grade level
2. Information to be Released: Specific categories of information authorized for release (e.g., academic records, attendance, behavioral records, health information)
3. Purpose of Release: Clear statement of why the information is being released and how it will be used
4. Recipient Information: Details of the person(s) or organization(s) to whom the information will be released
5. Duration of Authorization: Time period for which the authorization is valid
6. Rights Statement: Statement of the student's/parent's rights regarding the release of information and right to revoke authorization
7. Authorization Statement: Formal declaration of consent and understanding of the terms
8. Signature Block: Space for signature, date, and relationship to student (if signed by parent/guardian)
1. Parent/Guardian Information: Required when the student is a minor or when parental consent is necessary
2. Emergency Contact Release: Optional section for authorizing release of information to emergency contacts
3. Digital Media Release: Optional section for consent to use student's image or recordings in publications or media
4. Third-Party Service Providers: Section needed when information may be shared with external service providers or contractors
5. Special Instructions: Any specific instructions regarding how or when the information should be released
1. Schedule A - Detailed Information Categories: Comprehensive list of all types of student information that may be released
2. Schedule B - Authorized Recipients List: List of all authorized recipients and their contact information when multiple parties are involved
3. Schedule C - Privacy Policy Summary: Summary of the institution's privacy policy and information handling practices
Educational Records
Academic Records
Directory Information
Confidential Information
Student
Parent/Legal Guardian
Educational Institution
Authorized Representative
Third Party
Consent
Release Authorization
Record Custodian
Disclosure
Academic Year
Enrolled Student
Former Student
Student Information System
Privacy Officer
Education Records
Health Information
Financial Records
Designated Recipients
Duration of Authorization
Revocation
Privacy
Confidentiality
Information Access
Duration and Termination
Revocation Rights
Data Protection
Liability
Information Usage
Disclosure Limitations
Record Maintenance
Third Party Rights
Emergency Disclosure
Governing Law
Parental Rights
Digital Content Release
Information Transfer
Amendment Rights
Severability
Education
Higher Education
K-12 Education
Educational Technology
Student Services
Academic Research
Healthcare (for student medical information)
Professional Training
Career Services
Administration
Student Services
Registrar Office
Admissions
Legal
Compliance
Privacy
Records Management
Academic Affairs
Enrollment Services
Registrar
Privacy Officer
School Administrator
Enrollment Manager
Student Services Coordinator
Academic Advisor
Admissions Officer
Records Manager
Compliance Officer
Education Coordinator
School Principal
Department Head
Student Affairs Director
Data Protection Officer
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Genie’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; Genie’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it


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