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Get the free Confidential Student Block Request Form

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This form is used by students at Dutchess Community College to request a block on the release of their directory information under FERPA.
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How to fill out confidential student block request

01
Start by obtaining the confidential student block request form from the appropriate office or online resource.
02
Fill out your personal information, including your name, student ID, and contact details.
03
Indicate the specific reasons for requesting a confidential block on your student record.
04
Provide any required documentation that supports your request for confidentiality.
05
Review the form for accuracy and completeness before submission.
06
Submit the completed form to the designated office, either in person or via email, as per the institution's guidelines.
07
Keep a copy of the submitted request for your records.

Who needs confidential student block request?

01
Students who wish to protect their personal information for safety reasons.
02
Students who have experienced situations like abuse or stalking and need to keep their records confidential.
03
Students requiring anonymity for any other personal or sensitive circumstances.
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A confidential student block request is a formal request made by a student to restrict access to their personal information as part of student records, ensuring that their privacy is protected from unauthorized disclosure.
Any student who feels that their safety, privacy, or well-being may be at risk due to the disclosure of their personal information may file a confidential student block request.
To fill out a confidential student block request, students typically need to obtain the request form from their school's administration office or website, complete the necessary personal information, and provide a brief explanation for the request before submitting it to the appropriate authority.
The purpose of a confidential student block request is to protect students' personal information from being publicly accessible, especially in circumstances where disclosure could lead to harassment, harm, or other negative consequences.
The information that must be reported on a confidential student block request usually includes the student’s name, student ID, date of birth, contact information, and the specific reasons for requesting confidentiality.
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