10/21/2016
OFFICE OF THE REGISTRAR
MSC 105, 1050 W SANTA GERTRUDIS AVE
KINGSVILLE, TEXAS 78363-8202
PH (361) 593-2811 * FAX (361) 593-2195
www.tamuk.edu
REQUEST FOR REVOCATION OF NON-DISCLOSURE OF DIRECTORY INFORMATION
Texas A&M University-Kingsville does not normally disclose directory information. However, at its
discretion, it may provide directory information in accordance with the Family Educational Rights and Privacy
Act of 1974 (FERPA), as amended. At Texas A&M University-Kingsville, directory information is limited to:
Student’s name; local and permanent address; telephone number; major or minor; classification; dates of
attendance; enrollment status (e.g., undergraduate or graduate, full-time or part-time); participation in officially
recognized activities and sports; weight and height of members of athletic teams; degrees, honors, and awards
received; and most recent education agency or institution attended.
Under the provisions of FERPA, students have the right to withhold the disclosure of directory information.
Student requests for non-disclosure may be made in the Office of the Registrar any time during the semester.
Texas A&M University-Kingsville will honor your request to withhold any directory information item but
cannot assume responsibility to contact you for subsequent permission to release them. Your request for non-
disclosure will remain in effect until rescinded in writing (see below). Please consider very carefully the
consequences of any decision by you to withhold directory information.
Please Note: Non-disclosure of directory information does not prevent Texas A&M University-Kingsville from
disclosing personally identifiable information from a student’s record to authorized representatives of federal,
state and local agencies when that disclosure is in connection with financial aid for which the student has
applied of which the student has received, or any of the other exceptions to signed consent found in §99.31 of
the FERPA regulations.
I hereby authorize the Office of the Registrar at Texas A&M University-Kingsville to remove the non-disclosure
block from my education record. Effective immediately, directory information may once again be released to
the public, at the discretion of Texas A&M University-Kingsville.
_____________________________________________________ _________________________
NAME: LAST FIRST DATE
_____________________________________________________ _________________________
STUDENT SIGNATURE K ID or SOCIAL SECURITY #
Office of the Registrar Use Only:
Processed By: __________________________________________ Date: __________________
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