Student Consent Form

The academic honor society Phi Beta Kappa, in order to determine the membership eligibility of Kalamazoo College students, must examine student academic records maintained by the Office of the Registrar and certain other records maintained by the Office of Student Development.

Pursuant to the Family Education Rights and Privacy Act of 1974 (FERPA), Kalamazoo College must have a signed acknowledgement from you before your personal information may be released to the college's Phi Beta Kappa chapter, the Delta of Michigan.

If you wish to be considered for membership in Phi Beta Kappa, please complete the following authorization form.