Fraternity Grade Release Form 2026 - 2027


Contact Information

Form fields marked with an asterisk (*) are required.

Slippery Rock University 

Fraternity Grade Release (NPHC/NIC)

 Voluntary Authorization for Education Record Disclosure

I understand that to join I must have a 2.5 QPA, and be enrolled full time at Slippery Rock University.

Contact Information

Please use your full legal name and home address. Email Address must end in SRU.EDU Phone number should be your personal cell phone number if possible.
Authorization for Education Record Dislosure

I hereby consent to the release of my enrollment status, grade point averages (cumulative and previous semesters), and judicial records to the chapter president, scholarship chair, new member educator, chapter advisor, campus fraternity/sorority advisor and national headquarters staff. The purpose of this disclosure is to verify eligibility for membership, verification of achievement of the chapter’s academic and behavioral standards, award recognition, and for use in the chapter programming. This authorization shall remain in effect as long as I remain a member of the fraternity/sorority and am enrolled at Slippery Rock University, unless I submit written revocation of this authorization to the Office for Student Engagement and Leadership. University policy prohibits the release of personally identifiable information from the educational records of students without their prior written authorization. Exceptions to this policy are limited to a) release of such information to a specified list of officials with a legitimate educational interest in the record, b) the release of such information in response to a court order, health or safety emergency, or approved research project, or c) the release of public Directory information which has not been previously restricted by the student.
Required
Please choose all the organizations to which you are interested in joining.
required