Admissions/Records
PO Box 8000
Graham, NC 27253
Phone -336-506-4270
Fax – 336-506-4264
Admissions-Records@alamancecc.edu
Student Name: ____________________________________ ID# ______________________________
In accordance with the Family Educational Rights and Privacy Act (FERPA), Alamance Community College may
release the following directory information as contained in our students’ educational records without students’
consent:
• Name
• Dates of attendance
• Academic honors
• Degrees, diplomas, or certificates awarded
Signing this form prevents the release of the above directory information.
I, , student ID Number , DO NOT authorize
Alamance Community College to release directory information upon request.
I understand that this Directory Block will remain in effect unless I revoke this agreement in writing and the
revocation is received and processed by Alamance Community College.
Signature: Date:
Directory Information Block
