Revised 3/2020 KMH
Office of the Registrar
505 Amherst Street
Nashua, NH 03063
FERPA Directory Information Opt-Out
Student’s Name: __________________________________________ ID: A ____________________
Permanent Address: __________________________________________________
The Family Educational Rights and Privacy Act (FERPA), a Federal law, requires Nashua Community College,
with certain exceptions, to obtain your written consent prior to disclosure of personally identifiable
information from your education records. However, NCC may disclose the following basic “directory
information” that is generally not considered harmful or an invasion of privacy without your consent:
Email Address (CCSNH account)
Telephone Number
Major Field(s) of Study
Dates of Attendance
Enrollment Status
Degrees, Honors and/or Awards
Most recent educational institution attended
If you do not want your information disclosed without your consent, you may choose to opt-out by signing
Some of the effects of your decision to request confidential status:
If you restrict the release of directory information, your name will not appear on the Dean’s/President’s List
or Graduation Honors List released to newspapers.
Information that you are here as a student will be suppressed, so that if a Loan Company, Prospective
Employer, etc., inquire about you, the request for information will be denied.
Once you have designated a confidential classification, it will not be removed until you submit a signed authorization requesting that it be
Student’s Signature: ____________________________________________ Date: ______________
The Community College System of New Hampshire (CCSNH) uses electronic signatures and records in place of traditional ones whenever
possible. You will conduct business elec-tronically with CCSNH using a computer with a supported operating system and internet browser,
sufficient electronic storage capacity, a printer and your official CCSNH email ac-count. By logging into CCSNH systems, including but not limited
to Banner SIS and Canvas, you are opting to conduct electronic transactions with the Community College System and consenting to receive
written notices electronically, including those involving financial obligations, and you are acknowledging that CCSNH can use electronic
mechanisms alone to convey critical information related to your admission, financial aid, payment plan, student account, transcript
information, registration and other activities and accounts you may under-take or have as a student at CCSNH. You have a right to request a
paper copy of an electronic record. You may withdraw your consent at any time by contacting Student Services. If you decide to withdraw your
consent, however, you may be prevented from registering for classes.
OFFICE USE ONLY : Processed By: ______________________ Date: __________________________
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