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Notice of Rights and Authorization to Release Confidential Education Records

As a student of Lakeshore Technical College, I understand that I have the right, upon written request to Student Services, to inspect and/or review the materials in my student record. The exceptions to my right of review, under the regulations implementing the federal Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. 1232g, et. seq., include:

I understand that Lakeshore Technical College will provide access to my educational records within 45 days of my written request.

I hereby authorize the Wisconsin Hospital Preparedness Program to receive a copy of the following education records:

Registration Status and Progress reports

Wisconsin Hospital Preparedness Program
Wisconsin Division of Public Health
1 W. Wilson Street, P.O. Box 2659, Room 250
Madison, WI 53701-2659