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Get the free Student Request to Restrict Directory Information Form - uwsuper

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This form allows students to request the restriction of their directory information as provided under the Family Educational Rights and Privacy Act (FERPA). It outlines the implications of restricting
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How to fill out student request to restrict

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How to fill out Student Request to Restrict Directory Information Form

01
Obtain the Student Request to Restrict Directory Information Form from your institution's website or student services office.
02
Fill out your personal information accurately, including your name, student ID, and contact details.
03
Read the information about directory information and its implications before proceeding.
04
Check the specific items you wish to restrict from being disclosed, such as your address, phone number, email, or enrollment status.
05
Provide your signature and date at the bottom of the form to certify that the request is valid.
06
Submit the completed form to the appropriate office at your institution, either in person or via email, as per the instructions provided.

Who needs Student Request to Restrict Directory Information Form?

01
Students who wish to limit public access to their personal information maintained by the school.
02
Students concerned about privacy and safety, such as survivors of domestic violence or stalking.
03
Any student who wants to ensure their directory information is not disclosed without their consent.
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Typically, "directory information" includes information such as name, address, telephone listing, date and place of birth, participation in officially recognized activities and sports, and dates of attendance.
Answer. ing to the Family Educational Rights and Privacy Act (FERPA), schools may disclose, without consent, "directory" information such as a student's name, address, telephone number, date and place of birth, honors and awards, and dates of attendance.
The general rule under the Privacy Act is that an agency cannot disclose a record contained in a system of records unless the individual to whom the record pertains gives prior written consent to the disclosure.
(a) Directory information includes, but is not limited to, the student's name; address; telephone listing; electronic mail address; photograph; date and place of birth; major field of study; grade level; enrollment status (e.g., undergraduate or graduate, full-time or part-time); dates of attendance; participation in
How to Opt Out: Parents can opt out by calling their school and requesting a directory information (or FERPA, pronounced “fer-puh”) opt out form from their child's school. Some schools put opt out forms on the school web site. Parents should act as soon as possible to make sure they do not miss their opportunity.
Directory information is information in a student's education record that may be disclosed to outside organizations without a student's prior written consent. Directory information includes student's name, address, telephone number, email, date and place of birth, honors and awards, and dates of attendance.

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The Student Request to Restrict Directory Information Form is a document used by students to request that their directory information be kept confidential and not disclosed to the public.
Students who wish to restrict the disclosure of their directory information, such as those who may feel their safety is at risk or have other privacy concerns, are required to file this form.
To fill out the form, students must provide their personal details such as name, student ID, and contact information, along with a signature to authorize the restriction of their directory information.
The purpose of the form is to allow students to control the visibility of their personal information and to protect their privacy in compliance with educational privacy laws.
The form typically requires the student's name, student ID, date of birth, contact information, and a statement or signature indicating their request to restrict directory information.
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