DIRECTORY INFORMATION

Directory information which includes name, address, email address, telephone number, degrees, awards, academic recognitions, and licenses received, participation in officially recognized activities, and sports, dates of attendance and majors and minor fields of study, names of parent when associated with awards and officially recognized activities and sports events, student classification and date of graduation will be available to inquiries.  Students who desire to hold this information completely confidential should print this form, sign their name below, and return to the Records Office, Deputy 101.

This request for anonymity will remain in effect until canceled in writing.  Students should be aware that this might jeopardize their chance of employment since calls for directory information from prospective employers will be refused.

Signed ____________________________________________________________

Social Security Number _______________________________________________

Date _______________________________________________________________