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REQUEST TO PREVENT
THE DISCLOSURE OF DIRECTORY INFORMATION Office of the University Registrar - Kent State University "For your convenience: print, complete and return this form with required documentation." DIRECTORY INFORMATION: The Family Educational Rights and Privacy Act (FERPA) is a federal regulation which governs how educational institutions collect and disseminate student records data. University policy 3342-5-09 defines the operational procedures and regulations that govern student record data at Kent State University, including the definition of "directory information", which is information which "may be disclosed on an unlimited basis by university personnel in response to oral or written requests." Directory Information at Kent State University includes the following information: Name, local and permanent address, email address, telephone number, dates of attendance, class standing (undergraduate/graduate; freshman, etc.), enrollment status (full/part time), major, degrees awarded, honors, awards, previous institutions attended, sports participation, and weight and height of athletes. Students may "restrict" the disclosure of directory information by completing this Request to Prevent the Disclosure of Directory Information form. Other student record information is not released to parties outside the university without the written consent of the student. Please restrict the publication and release of Directory Information from my Kent State University educational record. I have indicated below, with an X, which categories of information I would like to restrict. By completing and returning this request to the Office of the University Registrar, PO Box 5190, Kent State University, Kent. OH 44242, or Room 108 Michael Schwartz Center, the disclosure of this information to non-University parties will occur only with my written permission. ____
STUDENT DIRECTORY
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Note: This restriction is effective immediately and will remain in effect until written notification to remove the restriction(s) is received from the student. Distribution: Alumni Office, Sports Information, Student File Clerk Initials:___________ Date:_________________
Updated: 8/16/01 |