Rutgers Dual Admission Onboarding Form

Rutgers Dual Admission Onboarding Form
Name*

First NameLast Name
Email*
Date of Birth*

MonthDayYear
Date
Middlesex College Student ID Number
What is your Academic Program*
By signing below, I agree to participate in the Rutgers Dual Admissions program with Middlesex College.*

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STUDENT CONSENT TO SHARE EDUCATION RECORD WITH RUTGERS UNIVERSITY

The Family Education Rights and Privacy Act of 1974 (FERPA) is a Federal law that protects the privacy of student education records and requires the student's consent to release non-directory information from such records.

I understand that I'm fully responsible for authorizing a third-party to access my Middlesex College educational records. I further understand that it is my responsibility to remove access to my records if such access is no longer necessary or wanted.
I authorize the institution to disclose my information to Rutgers University for the purposes of Dual Admission. *

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