HS Connections Early College Referral

High School Connections Early College Referral/FERPA Release

As a HS student committed to taking college classes on campus before HS graduation/earning a GED, you need to agree to the Early College program's Required Agreements. The HSC Advisor cannot release student information to anyone without a signed permission from students due to the Federal Education Rights and Privacy Act (FERPA). This form will act as your FERPA release, allowing the HSC advisor to communicate with the people the student chooses. This form cannot be filled out by the parent. The student attending Lane must sign this form.

I understand the following:
  • I authorize the release of mylane’s financial aid requirements and award letter to High School Connections to ensure my academic eligibility for financial aid after graduation.
  • If instructors indicate that they would prefer not to have a student under 18 in their class, I will be sure to use myLane to drop the class prior to the stated refund deadlines.
  • I understand that all policies regarding grading, class attendance, registration deadlines, payments on account and college procedures apply to me and exceptions will not be made because of my age or status as a dually enrolled high school student. I will be expected to use myLane to register for classes, make adjustments to my schedule, review and access my Account Summary for any charges assessed, and review my unofficial transcript, which will reflect my grades.
  • Grades earned in classes will appear on my permanent college transcript. They will not be eligible for adjustment at a later date and will impact future financial aid and/or Academic Progress Standards.
  • Tuition and fees assessed on all classes will be under my name and I will be responsible for ensuring that my account remains in good standing. I understand that my account balance must be paid within 120 days after being assessed the charges. After that date, my account will move to a collection status, regardless of my age. Students who have past due accounts can only register after their student account has been paid.
  • The Family Educational Rights and Privacy Act (FERPA) is a Federal law that protects the privacy of student education records. Regardless of age, you, the student, can choose if you want to release information to your high school and/or parent/guardians See Lane's FERPA policy for more details
    • This FERPA release, if approved, is only granted to the High School Connections office. Any parent contacting other Lane departments will not be given information about my Lane account.
Tell us about yourself

The Center for Accessible Resources is dedicated to assisting students with disabilities so students can meet academic requirements and goals. To request assistance or accommodations, contact the Center for Accessible Resources at 541-463-5150 or accessibleresources@lanecc.edu.

A free college course to help you transition to college! https://www.lanecc.edu/rtec101
Your courses need to be approved by your HS Counselor
Students that have not graduated high school/earned GED are not eligible for federal financial aid. Payment plans are available through your myLane.

You need to submit the Under 18 Student and Parent/Guardian Consent Form. It can be found at https://www.lanecc.edu/esfs/enrollment-services-forms. Complete the last page of the under 18 form then submit the pdf to Enrollment Services via our digital drop box using your my.lanecc.edu email address.

Who can we talk to about your Lane account?

Mandatory Acknowledgement/Release of Information

Sharing of student information between school district staff and Lane Community College staff requires a release of student record information, which is covered by the Federal Educational Rights and Privacy Act (FERPA). If you choose to release your information, it will be in effect until you graduate high school or until the student fills out a new form with different FERPA information. 

Please note that giving a parent a FERPA release is only allowed with the HS Connection advisor. A parent contacting another department on campus will not have FERPA rights.

We will only release admission requirements, placement testing results, and financial information to parents. We will not release registration information, final grades or class schedules to parents.

Optional Acknowledgement/Release of Information

Sharing of student information between school district staff and Lane Community College staff requires a release of student record information, which is covered by the Federal Educational Rights and Privacy Act (FERPA). If you choose to release your information, it will be in effect until you graduate high school or if you fill out a new form with different FERPA release information. 

Please note that giving a parent a FERPA release is only allowed with the HS Connection advisor. A parent contacting another department on campus will not have FERPA rights.

We will only release Admission Requirements, placement testing results, and financial information to parents. We will not release registration information, final grades or class schedules.

Student Signature Requirement

Student Signature

By entering in my name, and personal or Lane student email, I certify that I have read and agree to the HS Connections RTEC referral form and if applicable, the release of my information. I have provided complete and accurate statements on this form. I will obtain a copy and print for my records.

Please list your name as it appears on your social security card. Do not write in your nickname.
Sign your full name as best as you can with the mouse