Lewis-Clark State College Library
Circulation Department
500 8th Avenue
Lewiston, ID 83501
208-792-2396
STUDENT PERMISSION FORM
Permission to use student papers (in accordance with LCSC policy
1.117)
I hereby waive
my right to privacy granted to me by the Family Educational Rights and
Privacy Act
of 1974 (FERPA) by permitting my paper:
to be used by my professor
for education purposes.
Therefore, I grant permission for this paper, which may include
instructor comments and grades, be made available for public
review through Lewis-Clark State College Library reserve system.
Signed: ____________________________________
Name: ____________________________________
Date: ______________________
I give permission for my name to remain on the paper.
________Yes ________No (Please
initial)
Signed: ____________________________________
Rev. 3/16/06