Student Consent to Release of Educational Records

The Family Educational Rights and Privacy Act (FERPA) affords certain rights to students
concerning the privacy of, and access to, their education records. Understanding that under
FERPA I have the right not to consent, I hereby agree to the release of my works created in
(Name of Professor) Deby Jizi First-Year Writing course
to be shared on Maxwell’s Portfolio (name of blog/website/etc.)
at https://mjp18portfolio.weebly.com/ (website),
which will be accessible to third parties, for the purpose of creating a portfolio and enhancing the
educational benefits of this course.

Student Name (Print): Maxwell Pitney

Signature: Maxwell Pitney

Date: 05/08/20118