FERPA Directory Information Opt-Out Form

The Family Educational Rights and Privacy Act (FERPA), is a U.S. federal law that protects the privacy of student education records. FERPA allows schools to disclose certain directory information without consent, while allowing students to restrict or limit the release of “Directory Information”. Directory information includes information relating to a student’s name, address, e-mail address, date and place of birth, major field of study, dates of attendance, honors designation and earned degrees.

By submitting this form, you are indicating that you wish to have your personal information suppressed, SUNY Old Westbury will not publish or share your information with inquiring parties.

Name

I hereby request that my information remain confidential. I choose to not have my directory information released to any third party without my written consent, except as required by law. I have read and understand the information provided above and the potential consequences for making this request. My dated signature below confirms my opt-out request.