No Release of Directory Information
COMMUNITY COLLEGE OF ALLEGHENY COUNTY
OUR GOAL IS YOUR SUCCESS.
The Family Educational Rights and Privacy Act prohibits CCAC from releasing certain information, including
student grades, Social Security number and other personally identiable information.
FERPA does, however, allow CCAC to release directory information on students—unless the student specically
requests that information be protected. CCAC’s directory information includes student’s current and former
name, postal and email address, registration period(s), number of credits, program of study and degrees awarded.
If you do not want this information to be shared with third parties, take this completed form to the registration
ofce at your campus. CCAC will add a note to your electronic record indicating that staff cannot release any
information, including directory information. Please note that by completing this action, the college may not
release any information—even when that information could be helpful to the student.
By signing this document, I authorize the Community College of Allegheny County to withhold all information
from third parties, including directory information.
Student Name (please print): ___________________________________________ Student ID: ________________________
Student Signature
: __________________________________________________ Date: ____________________________
No Directory Release form-CDI-JP-WS/SK-APR14
Allegheny Campus Boyce Campus North Campus South Campus
Registration Ofce Registration Ofce Registration Ofce Registration Ofce
808 Ridge Avenue 595 Beatty Road 8701 Perry Highway 1750 Clairton Road
Pittsburgh, PA 15212 Monroeville, PA 15146 Pittsburgh, PA 15237 West Mifin, PA 15122
412.237.2700 724.325.6674 412.369.3700 412.469.6203
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signature
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