*Release of Student Information ConsentI authorized the state, district, or territory to whom this release is submitted (collectively, the "State") and my local adult education program to use, report, and release the Personally Identifiable Information (PII) contained in my adult education program records, instructional plan, assessment outcomes, credential progress and attainment, and accommodation documentation (if provided) to report my follow-up employment data (unemployment and wage records), credential attainment information, and other follow-up educational activity for purposes of education and/or employment research planning, and reporting consistent with state and federal regulations. I agree to allow the Virginia Department of Education to use my data to conduct data matches with the Virginia Community College System, Virginia Works, the Virginia Department for Aging and Rehabilitative Services, the Virginia Department for the Blind and Vision Impaired, the Virginia Department of Social Services, the Virginia Employment Commission, and the State Wage Interchange System and to include the results in my adult education record in compliance with Virginia security standards for the purposes of federal and state reporting and career coaching. I acknowledge that the State fully supports the mandates of the federal Family Educational Rights and Privacy Act (FERPA) and 20 CFR, Chapter V, 603.5(d)(2)(i). I understand these statements fully and authorize the use of my PII and employment data for official purposes only, as approved by my signature below.
Consent to Release Student Information for Determining Additional Workforce Assistance Eligibility
By signing below, I authorize my adult education provider to release my directory information to workforce agencies at my local Virginia Career Works Center to determine if I qualify for additional workforce assistance, including occupational training or supportive services. The signed consent is valid while I am enrolled in this program.
