Directory Information is defined as information which would not generally be considered harmful or an invasion of privacy if disclosed. Name: The University may establish categories of information known as "Directory Information" and release this information without student consent, upon request. -or-Students who previously requested non-disclo-sure and now wish to authorize the release of Your request for non-disclosure remains in effect until rescinded in writing (see below). <<112539138CAA1C4A84F6380569D5D9E3>]>> 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 … 0000017129 00000 n 0000012566 00000 n You have successfully completed this document. 1 0 obj 0000012788 00000 n x�bba`b``� � 1\ � Under the provisions of FERPA, you have the right to block the disclosure of Directory Information. Non-Disclosure of Directory Information. 0 Non-Disclosure of Directory Information. A student may request, in the format provided below, that the following categories be excluded 0000019144 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 0000017414 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. 0000020340 00000 n 0000185898 00000 n A request to withhold disclosure of Directory Information is … This request will remain in effect until canceled in writing. Directory Information may be released at the discretion of the College for any purpose. ... 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. Other parties need to complete fields in the document. 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 0000012832 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. I DIRECT THE UNIVERSITY TO NOT DISCLOSE ANY INFORMATION ABOUT ME WITHOUT MY WRITTEN CONSENT. 0000001694 00000 n 0000012527 00000 n 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 (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. Request For Non-Disclosure of Directory Information. 0000186481 00000 n CCTC designates the student information below as directory information. Order for Non-Disclosure of Directory Information . Please consider very 0000015026 00000 n This document has been signed by all parties. 0000013323 00000 n This information is only released 0000017711 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. You may withhold Directory Information by notifying the Registration and Records Office in writing during: FALL SPRING SUMMER ANY MINIMESTER. %PDF-1.5 0000012700 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. 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.) 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