You have successfully completed this document. 0000001694 00000 n 0000015925 00000 n 0000012527 00000 n Please be advised that a request for non-disclosure of directory information will not affect the disclosure of personally identifiable information under exceptions permitted by FERPA. 0000186481 00000 n Please consider very carefully the consequences of any decision by you to withhold directory information. x�b``�f`Л�����s*`b�P. x��ko�F����T�w�|� [�M�K\͡P$�& ��D����73;K�RZ�.r��N,rgvvޏ�x��x��������'qu=Ww�g�o��:����? 0 DIRECTORY INFORMATION NON-DISCLOSURE FORM . -or-Students who previously requested non-disclo-sure and now wish to authorize the release of Nondisclosure of Directory Information. q��+ �w2� 0000017129 00000 n This request will remain in effect until canceled in writing. 0000086084 00000 n <>>> 0000016373 00000 n 0000014542 00000 n 0000012700 00000 n 0000012744 00000 n stream 0000014701 00000 n One of the rights afforded is the right to request non-disclosure of Directory Information. Non-Disclosure of Directory Information Office of the Registrar Jefferson 100 65-30 Kissena Blvd. 63 47 0000012832 00000 n 0000187684 00000 n 0000015703 00000 n Please consider very carefully the consequences of any decision to withhold Directory Information. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 0000013669 00000 n Request For Non-Disclosure of Directory Information. This form must be filed with the Registrar’s Office if you do not wish directory information to be disclosed without your prior consent (see the University’s definition of directory information below.) 0000015474 00000 n 0000013323 00000 n Under the provisions of the Family Educational Rights and Privacy Act of 1974, as Amended, you have the right to withhold the disclosure … Other parties need to complete fields in the document. 1 0 obj The University provides a form by which an enrolled student can request the non-disclosure of “Directory Information.” The form may be submitted to the Office of the Registrar at any time. ?�'J���D��c�'2ー24k 0000012566 00000 n Should you decide to inform FPU not to release Directory Information, any future requests for such information from non-school officials or authorized organizations will be refused. 0000185649 00000 n 0000021919 00000 n 0000015026 00000 n 0000017711 00000 n n��0�x�1�^]�҂�w����:�ç�"�N�����י��F=��؍�Ź�M�9"|��^dSY�F���cX���� R�qF6�Z�3�~��1C�Ƿ̓�Q����l�.xM���G��補��#��� y6|e:������:��֥\˓G ��;}UH���[[�fų^A%}J���tV�a������ Z���� ��e���u@��� ���3�N��x�>�^BK�I��MG��J{��}�Z� ��-*MSQ��5��I�������G�V��j��������i��N�lN%9�;��繦�8�J��MX�����8c��q^����Y���S� �[\DƲ;p�VY'�#$�����y�ɬ�� H����. withhold the disclosure of the Directory Information listed below. 0000019144 00000 n Directory Information may be released at the discretion of the College for any purpose. endstream endobj 64 0 obj <>/Names 66 0 R/Perms/Data 64 0 R/TransformMethod/UR3/Type/SigRef>>]/Prop_Build<>/App<>/PubSec<>>>/Type/Sig>>>>/Metadata 22 0 R/AcroForm 65 0 R/Pages 21 0 R/OCProperties<><>]>>/OCGs[74 0 R 75 0 R]>>/StructTreeRoot 24 0 R/Type/Catalog>> endobj 65 0 obj <)19 0 R]/Fields[7 0 R]/DA(/Helv 0 Tf 0 g )/DR<>>>/SigFlags 2>> endobj 66 0 obj <> endobj 67 0 obj <> endobj 68 0 obj <> endobj 69 0 obj <> endobj 70 0 obj <> endobj 71 0 obj <>stream ?�"���I�D��N����Y,~ǿ�;?�u�~�G��"���wߟ��D�̂���2��:���I�J�5lP��7��h;���.�X�f�{BZ�H�ǐ�v9oƹ���?�q��g��P���c�F3|��{BB�ժ����ͥL�}7�����T��L�2�2��&����>� �_�q*���-镆Wi Your request for non-disclosure remains in effect until rescinded in writing (see below). <<112539138CAA1C4A84F6380569D5D9E3>]>> 0000130071 00000 n 3 0 obj %���� This information is only released These items listed on the reverse side of this form are designated as DIRECTORY INFORMATION by the Board of Regents of Higher Education and may be released by Quinebaug Valley Community College (QVCC). endobj %PDF-1.5 <> Or, to anyone within UNT who does NOT have a legitimate educational interest. x�bba`b``� � 1\ � NO - If the student has requested that directory information be withheld, no information can be released outside of UNT except as provided by law. 2 0 obj ? Students may withhold the disclosure of Directory Information by completing this form and presenting it to the Academic Records/Registrar’s Office prior to the last day to complete registration for each fall/spring semester. 0000015249 00000 n A request to withhold disclosure of Directory Information is … Student requests for non-disclosure may be made in the registrar’s office any time during the semester. Flushing, NY 11367 718-997-4400 [email protected] Pursuant to federal law, Queens College of The City University of New York authorizes the release of certain information concerning students to the public upon request. You may withhold Directory Information by notifying the Registration and Records Office in writing during: FALL SPRING SUMMER ANY MINIMESTER. trailer Non-Disclosure of Directory Information Please submit this request to the Office of the Registrar prior to the first day of the academic term you are entering in order for the restriction to become effective for that term. %PDF-1.6 %���� If you wish to withhold the disclosure of all "Student Directory Information" items, the Request for a Non-Disclosure Hold of Student Directory Information form must be completed and submitted to the Office of the Registrar, 118 Anderson Hall (208 College Center, Salina). I Please consider very 0000129818 00000 n 0000000016 00000 n 0000088059 00000 n [GG��630�30r �x� d�!��]���n����^2�0�3v��2\ce�U�>a��k�1,���0\bR`�a��p�ђ�n#�{ -����H1�^�yG[����ߴ�@���*�v@Tڼ��Z� 63 0 obj <> endobj Can directory information be released to anyone who requests it? 0000012224 00000 n (Signing this form is optional) Under the provisions of the Family Educational Rights and Privacy Act (FERPA) of 1974, as amended, students have the right to withhold the disclosure of directory information. Order for Non-Disclosure of Directory Information . 0000131662 00000 n 0000130458 00000 n Directory information, which is information that is generally not considered harmful or an invasion of privacy if released, can also be disclosed to outside organizations without a parent’s prior written consent. 109 0 obj <>stream <> 0000017983 00000 n Please Note: Non-disclosure of directory information does not prevent UNA from disclosing personally identifiable information from a student’s record to authorized representatives of federal, state and local agencies when that disclosure H���[k�0����ze�;���nN��_�����d�����!Oް ��3�(��JX($�}�m���ǀ��[������0 �p�ve] �*�8v���U. Although the initial request may be filed at any time, requests for non-disclosure will be honored by the University until removed by the student. Non-Disclosure of Directory Information. ... be liable for directory information disclosed prior to the receipt of the fo rm and up to 30 days after the receipt of this form. Directory Information is defined as information which would not generally be considered harmful or an invasion of privacy if disclosed. 0000189258 00000 n The 1st12 days of class The 1st12 days of class The 1st4 days of class The 1stday of class We will honor this request of nondisclosure until you direct the Registration and Records Office to remove the … How to restrict disclosure of certain information if you’re at serious risk as a company director, limited liability partnership (LLP) member or person with significant control (PSC). Under the provision of the Family Educational Rights and Privacy Act of 1974, as Amended, you have the right to withhold the disclosure of the items listed below which are considered to be Directory Information. I DIRECT THE UNIVERSITY TO NOT DISCLOSE ANY INFORMATION ABOUT ME WITHOUT MY WRITTEN CONSENT. By completing the form below, a student may request that the following categories be excluded from Directory Information. Non-Disclosure of Directory Information In compliance with the Family Educational Rights and Privacy Act of 1974 (FERPA), Central Carolina Technical College may release directory information without the consent of the student. College will honor the request to withhold all directory information but assumes no liability for the consequences of honoring those instructions. Outside organizations include, but are not limited to, companies that manufacture class rings or publish yearbooks. endstream endobj 108 0 obj <>/Size 63/Type/XRef>>stream endobj Students who wish to prevent disclosure of their directory information to a third party (complete sections 1 and 2). This document is locked as it has been sent for signing. 0000001236 00000 n 0000016147 00000 n 0000020593 00000 n endobj 0000188996 00000 n 0000001525 00000 n 4 0 obj A student may request, in the format provided below, that the following categories be excluded The Authorization-for-non-disclosure-of-directory-information Non-Disclosure Form form is 2 pages long and contains: 1 signature; 10 check-boxes; 10 other fields; Country of origin: US File type: PDF U.S.A. forms for Indian River State College information to non-institutional persons and organizations. 0000017414 00000 n Non-Disclosure of Directory Information The University may establish categories of information known as “Directory Information” and release this information without student consent, upon request. 0000014382 00000 n Non-Disclosure of Directory Information. REQUEST FOR NON-DISCLOSURE OF DIRECTORY INFORMATION NOTIFICATION TO ALL STUDENTS: The items listed below are designated as Directory Information and may be released for any purpose at the discretion of our institution. The submission of this form to the Office of the Registrar will indicate that the undersigned wishes Directory Information to be withheld from release for any non-institutional purpose, in verbal, written, or electronic form, including enrollment verifications and background checks. A student may request, in the format provided below, that %%EOF You will recieve an email notification when the document has been completed by all parties. 0000014938 00000 n Directory information is publicly available Fax: 612-330-1425 _____ Non-Disclosure of Directory Information Request Who needs to use this form? 0000018378 00000 n startxref 0000018712 00000 n xref CCTC designates the student information below as directory information. ��@� ��E���haB I_N���jrQ2=HS��D��G%c��I�I�AN.�7�`�aj@q9��5�ӳK�nς��G�D aH��\�3�X%�U�ٹ��D��t"�D�ZZ�� �J�&K"ș�z{�T�,�c���J�*�#������Z�**�h�����֏�����jP��}#��Ԩ�/@���������r�¯��~˷������%�&�bG(�z�O`G)ؘ��&`1�� g`^�#0�j-���T܏�ܶ�&6�K��Z,����W�y�w����YRV�Q�ZKj�W���F/k� ���MP��P��E�H'7�D�e�V��\�Z�$�*Z�#�2��:����Q]t Under the provisions of FERPA, you have the right to block the disclosure of Directory Information. 0000189610 00000 n REQUEST TO PREVENT DISCLOSURE OF DIRECTORY INFORMATION The Family Educational Rights and Privacy Act of 1974, as amended, permits Barry University (“University”) to designate certain information about you as directory information and to release such information at … cINy��O�? 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