GPA Authorization and Hazing Policy

Grade Point Release Authorization (FERPA-Release) and Acknowledgement of Hazing Policy

This form is for students who are interested in joining a fraternity or sorority at Knox College. This form provides authorization from a student for the Campus Life Office to share the student's GPA, term information, and enrollment information with chapter leadership and other local and national chapter representatives of the chapter indicated in this form. This authorization will continue for as long as the student is a member of the indicated chapter. This form also explains the Anti-Hazing Policy of Knox College, an overview of hazing, and resources available related to hazing. By signing this form, the student acknowledges that they have received and understand the hazing information.
Name *

First Name Last Name
Knox I.D. Number *
Knox Email *
example@example.com
Phone Number *

Area Code Phone Number
Year Joining the Organization *
Enter the year in which you joined or are hoping to join a fraternity or sorority.
Graduation Year *
Enter the year you will graduate from Knox College.
Fraternity or Sorority *
Enter the name of the fraternity or sorority of which you are a member and are authorizing to receive your grade point average each academic term or at midterms, if requested.
General Standards of Conduct

Hazing: The college prohibits hazing, which is defined as any act which endangers the mental or physical health or safety of a student, or which destroys or removes public or private property, or which produces ridicule, embarrassment, harassment, intimidation or other similar result, for the purpose of initiation, admission into, affiliation with, or as a condition of continued membership in, a group or organization. Examples include paddling, creating excessive fatigue, physical and psychological shock, public stunts, and morally degrading or humiliating games and activities. The express or implied consent of the victim will not be a defense of this violation, and apathy or acquiescence in the presence of hazing is also seen as a violation of this policy.

All campus organizations are not permitted to haze and may confer membership on new members in many different ways. They must not have any type of informal initiations that incorporate hazing, such as "Hell Week." All initiations must take place within the chapter houses and must not cause any kind of public nuisance or disturbance.

Nothing may be done to a new or active member that may involve the possibility of physical injury. Students must not be asked to violate their personal or moral beliefs as a condition of initiation. The initiation program must not in any way interfere with a student's academic work and may not do any harm to the student in any way.

Examples of Hazing

Participant endures ridicule, embarrassment, and must complete humiliating tasks in order to feel like a part of the group. Activities include but are not limited to:
- Assigning demerits
- Name calling
- Line-ups and drills/tests
- Expecting certain items to be in one's possession
- Doing extra house chores or expected to run errands for members, alumni, or others affiliated with the members
Participant endures frustration, confusion, stress, and physical discomfort in order to feel like part of the group. Activities include but are not limited to:
Verbal abuse
- Degrading, crude, or humiliating acts
- Sleep deprivation or expectations of extreme late night event attendance or other type of chapter participation at risk of losing a bid/membership
- Perform personal service to initiated members or those affiliated with members
Participant endures physical, emotional, and/or psychological harm in order to feel like part of the group. Activities include but are not limited to:
- Forced or coerced consumption of any food or substance, including but not limited to drugs and alcohol
- Beating, paddling, or other forms of assault
- Forced or coerced ingestion of vile substances or conditions
- Bondage/abductions/kidnaps
Contact one or all of the following resources to report hazing or seek more resources about hazing:
- Debbie Southern, Dean of Students, dsouther@knox.edu, 309-341-7225
- Nate Kemp, Director of Campus Safety, nkemp@knox.edu, 309-341-7255
- Amanda Dermer, Assistant Director for Campus Life, ardermer@knox.edu, 309-341-7945
- Campus Safety, 309-341-7979
- Off campus resources: 1-888-NOT-HAZE (1-888-668-4293), www.hazingprevention.org
By signing this form, I acknowledge that:
- I hereby authorize the release of my grade point average, midterm grades, term hours, term credits, cumulative grade point average, and enrollment status to the Campus Life Office, to the official undergraduate chapter representatives of the Knox College fraternity or sorority chapter listed in this form, the Chapter Advisor, the House Corporation President (if applicable), and to (Inter)National raternity or sorority representatives for the purposes of recruitment. This authorization lasts for as long as I am a member of the chapter and a student at Knox College. Information released may only be used for purposes of membership status, determining chapter awards, chapter rosters, national reports, fraternity and sorority community recognition and rewards, and other fraternity and sorority related business.
- I have read and understand all of the above information about Knox College's policy against hazing in any form.
- I understand to whom I should report if I notice or learn of hazing happening on campus.
- I have received information regarding on campus and off campus resources regarding hazing.
Please sign your name below. *

If you are unable to electronically sign this form, please email the campus life office at campuslife@knox.edu and ask for a printable form to be emailed to you. You may also visit the office and pick up a paper copy to fill out and sign. Clear
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Grade Point Release Authorization (FERPA-Release) and Acknowledgement of Hazing Policy