Office of Admissions & Records
FERPA Directory Information &
Opt-Out Form
FERPA Regulations
The Family Educational Rights and Privacy Act (FERPA), a Federal law requires that El Camino College
(ECC), with certain exceptions, obtain your written consent prior to the disclosure of personally identifiable
information from your education records. However, ECC may disclose appropriately designated “directory
information” without written consent, unless you have advised us to the contrary in accordance with District
procedures. The primary purpose of directory information is to allow ECC to include this type of
information from your education records in certain school publications. Examples include:
A playbill, showing your role in a drama production
Dean’s List
Graduation programs
Sports activity programs
Directory information, which is information that is generally not considered harmful or an invasion of
privacy if released, can also be disclosed to outside organizations without your prior written consent.
Outside organizations include, but are not limited to, federal and state agencies, companies that manufacture
class rings and/or graduations regalia, etc.
In addition, two federal laws require ECC to provide military recruiters, upon request, with your name,
addresses, and telephone number unless you have advised us that you do not want your information disclosed
without prior written consent.
Directory Information Opt-Out Procedures
If you do not want ECC to disclose directory information from your education records without your prior
written consent, you must notify us in writing. For your convenience, please complete this form and return it
to the Admissions & Records Office. Upon receipt, your information will not be released from the time this
request is processed forward. If directory information is released prior to receiving your opt-out request,
ECC may not be able to stop the use of your information.
Directory Information at El Camino College:
Dates of Attendance
Enrollment Status (e.g., full-time, part-time)
Class Standing (e.g. sophomore)
Participation in officially recognized activities and sports
Weight and height of members of athletic teams
The most recent educational institution attended
Degrees, certificates, honors, and awards received
Major field of study
Please print Cleary and in ink (for printed forms):
ECC Student ID # ___/___/___/___/___/___/___ / Telephone # _______ ___________ - ___________
Name: _________________________________________________ Email: _______________@_________
Last First MI
Notice of Directory Information
To: Registrar of El Camino College
I request the withholding of the above-referenced personally-identifiable information identified as Directory
Information. I understand that upon submission of this Form, the information above cannot be released to
third parties without my written consent or unless El Camino College is required by law or permitted under
FERPA to release such information without my prior written consent; and that the directory information will
not otherwise be released from the time ECC receives my Opt-Out Form until my opt-out request is
rescinded. I understand that I may not opt-out of use of my student ID because it is necessary for identifying
information for ECC. I further understand that if directory information is released prior to ECC receiving
my opt-out request, ECC may not be able to stop the disclosure of my directory information.
Signature ________________________________________________ Date: ____/_____/20______
Office Use Only
Date received: ____/_____/______ Date records coded: ____/_____/______ Initials: ____________
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