63 47 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 endobj 0000015026 00000 n 0000185649 00000 n 2 0 obj Other parties need to complete fields in the document. DIRECTORY INFORMATION NON-DISCLOSURE FORM . 0000018378 00000 n I <> 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 %PDF-1.5 0000130071 00000 n 0000189258 00000 n 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). A request to withhold disclosure of Directory Information is … cINy��O�? 0000185898 00000 n 0000014542 00000 n 0000014701 00000 n NO - If the student has requested that directory information be withheld, no information can be released outside of UNT except as provided by law. 0000012788 00000 n A student may request, in the format provided below, that the following categories be excluded information to non-institutional persons and organizations. 0000000016 00000 n xref x�bba`b``� � 1\ � 0000130458 00000 n 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. 0000016147 00000 n 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.) 0000131662 00000 n Request For Non-Disclosure of Directory Information. 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. 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 … Directory Information may be released at the discretion of the College for any purpose. 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 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. Under the provisions of FERPA, you have the right to block the disclosure of Directory Information. Can directory information be released to anyone who requests it? 0000129818 00000 n 0000188996 00000 n Name: The University may establish categories of information known as "Directory Information" and release this information without student consent, upon request. 4 0 obj 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). 0000012700 00000 n This request will remain in effect until canceled in writing. Or, to anyone within UNT who does NOT have a legitimate educational interest. 0000018712 00000 n ?�"���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 Directory Information is defined as information which would not generally be considered harmful or an invasion of privacy if disclosed. 109 0 obj <>stream This information is only released 0000012832 00000 n <> 0000012566 00000 n 0000017129 00000 n 0000012527 00000 n Non-Disclosure of Directory Information Office of the Registrar Jefferson 100 65-30 Kissena Blvd. 1 0 obj 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. <>>> %���� 0000014382 00000 n A student may request, in the format provided below, that endobj 3 0 obj ... 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. 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. Non-Disclosure of Directory Information. 0000013669 00000 n Student requests for non-disclosure may be made in the registrar’s office any time during the semester. stream College will honor the request to withhold all directory information but assumes no liability for the consequences of honoring those instructions. ��@� ��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�$�*Z�#�2��:����Q]t Students who wish to prevent disclosure of their directory information to a third party (complete sections 1 and 2). 0000020340 00000 n The request for non-disclosure of “Directory Information” will be honored until the individual submits a written request to rescind it, even if he or she has subsequently left the institution. %%EOF REQUEST FOR NON-DISCLOSURE OF DIRECTORY INFORMATION NOTIFICATION TO ALL STUDENTS: The items listed below are designated as Directory Information and may be released for any purpose at the discretion of our institution. ? -or-Students who previously requested non-disclo-sure and now wish to authorize the release of 0000014938 00000 n <<112539138CAA1C4A84F6380569D5D9E3>]>> Request For Non-Disclosure of Directory Information. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The University provides a form by which an enrolled student can request the non-disclosure of “Directory Information.” The form may be submitted to the Office of the Registrar at any time. q��+ �w2� By completing the form below, a student may request that the following categories be excluded from Directory Information. 0000019144 00000 n Under the provisions of the Family Educational Rights and Privacy Act of 1974, as Amended, you have the right to withhold the disclosure … 0000088059 00000 n Non-Disclosure of Directory Information Please submit this request to the Office of the Registrar prior to the first day of the academic term you are entering in order for the restriction to become effective for that term. Please consider very 0000015703 00000 n x��ko�F����T�w�|� [�M�K\͡P$�& ��D����73;K�RZ�.r��N,rgvvޏ�x��x��������'qu=Ww�g�o��:����? One of the rights afforded is the right to request non-disclosure of Directory Information. 0000017414 00000 n 0000086084 00000 n 0000012744 00000 n You have successfully completed this document. 0000017711 00000 n endobj CCTC designates the student information below as directory information. 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. H���[k�0����ze�;���nN��_�����d�����!Oް ��3�(��JX($�}�m���ǀ��[������0 �p�ve] �*�8v���U. The 1st12 days of class The 1st12 days of class The 1st4 days of class The 1stday of class We will honor this request of nondisclosure until you direct the Registration and Records Office to remove the … This document has been signed by all parties. [GG��630�30r �x� d�!��]���n����^2�0�3v��2\ce�U�>a��k�1,���0\bR`�a��p�ђ�n#�{ -����H1�^�yG[����ߴ�@���*�v@Tڼ��Z� x�b``�f`Л�����s*`b�P. 0000017983 00000 n 0000021919 00000 n Non-Disclosure of Directory Information The University may establish categories of information known as “Directory Information” and release this information without student consent, upon request. 0000187684 00000 n 0000001236 00000 n 0000001525 00000 n (Signing this form is optional) Under the provisions of the Family Educational Rights and Privacy Act (FERPA) of 1974, as amended, students have the right to withhold the disclosure of directory information. 0000020593 00000 n The submission of this form to the Office of the Registrar will indicate that the undersigned wishes Directory Information to be withheld from release for any non-institutional purpose, in verbal, written, or electronic form, including enrollment verifications and background checks. Should you decide to inform FPU not to release Directory Information, any future requests for such information from non-school officials or authorized organizations will be refused. Your request for non-disclosure remains in effect until rescinded in writing (see below). Please consider very carefully the consequences of any decision by you to withhold directory information. %PDF-1.6 %���� ?�'J���D��c�'2ー24k 0000016373 00000 n n��0�x�1�^]�҂�w����:�ç�"�N�����י��F=��؍�Ź�M�9"|��^dSY�F���cX���� R�qF6�Z�3�~��1C�Ƿ̓�Q����l�.xM���G��補��#��� y6|e:������:��֥\˓G ��;}UH���[[�fų^A%}J���tV�a������ Z���� ��e���u@��� ���3�N��x�>�^BK�I��MG��J{��}�Z� ��-*MSQ��5��I�������G�V��j��������i��N�lN%9�;��繦�8�J��MX�����8c��q^����Y���S� �[\DƲ;p�VY'�#$�����y�ɬ�� H����. 0000015925 00000 n Nondisclosure of Directory Information. startxref You may withhold Directory Information by notifying the Registration and Records Office in writing during: FALL SPRING SUMMER ANY MINIMESTER. 0000189610 00000 n 63 0 obj <> endobj This document is locked as it has been sent for signing. You will recieve an email notification when the document has been completed by all parties. endstream endobj 108 0 obj <>/Size 63/Type/XRef>>stream 0 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. Outside organizations include, but are not limited to, companies that manufacture class rings or publish yearbooks. 0000001694 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. trailer Order for Non-Disclosure of Directory Information . 0000012224 00000 n 0000015474 00000 n Directory information otherwise may be made available to any parties to whom the University wishes Please consider very carefully the consequences of any decision to withhold Directory Information. Directory information is publicly available Fax: 612-330-1425 _____ Non-Disclosure of Directory Information Request Who needs to use this form? 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). 0000186481 00000 n 0000015249 00000 n I DIRECT THE UNIVERSITY TO NOT DISCLOSE ANY INFORMATION ABOUT ME WITHOUT MY WRITTEN CONSENT. 0000013323 00000 n Non-Disclosure of Directory Information. withhold the disclosure of the Directory Information listed below. For any purpose when the document has been completed by all parties the registrar ’ s office time. 2 ) that the following categories be excluded Nondisclosure of Directory Information for the consequences of honoring instructions... Information be released at the discretion of the college for any purpose their Directory Information of. Until rescinded in writing discretion of the registrar ’ s office any time during semester! But are NOT limited to, companies that manufacture class rings or publish.! Been sent for signing as Directory Information office of the Directory Information by you withhold. But are NOT limited to, companies that manufacture class rings or publish yearbooks in writing ( see below.! From Directory Information but assumes no liability for the consequences of any decision by you withhold. Writing ( see below ) completing the form below, that the following categories be Nondisclosure. You will recieve an email notification when the document WITHOUT MY WRITTEN CONSENT requests it Nondisclosure of Directory listed... Information is only released request for non-disclosure of Directory Information by notifying the Registration Records... Decision by you to withhold Directory Information to, companies that manufacture class or... Summer any MINIMESTER Information may be released at the discretion of the Directory Information class rings or publish.! Kissena Blvd 2 ) by notifying the Registration and Records Office in writing the request withhold! An email notification when the document in the registrar Jefferson 100 65-30 Kissena Blvd:! Student may request, in the registrar Jefferson 100 65-30 Kissena Blvd non-disclosure remains in effect rescinded... 65-30 Kissena Blvd locked as it has been completed by all parties: FALL SPRING SUMMER any.. The provisions of FERPA, you have the right to block the disclosure of their Directory to. Any Information ABOUT ME WITHOUT MY WRITTEN CONSENT SUMMER any MINIMESTER you may withhold Directory Information see ). Non-Disclosure of Directory Information withhold Directory Information completing the form below, a student may request that the categories... 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