Request to Prevent Disclosure of Directory Information
For a student to be able to request that their Directory Information not be released to non-faculty/staff personnel.
Student’s Last Name ________________ First Name _________________ LOLA # _________________
Semester __________________ Year ________
River Parishes Community College (RPCC) is committed to following the guidelines of the Family
Educational Rights and Privacy Act of 1974. The only information ordinarily released concerning students will be
that considered Directory Information. RPCC defines this as student’s name, date of birth, telephone number, e-mail
address, and dates of attendance.
Directory Information, by law, may be released to the general public and may be listed in the campus
directory. No other student information is released to non-faculty/staff personnel without your written permission.
By completing this form, you will be requesting that Directory Information not be released to non-faculty/staff
Some of the effects of your decision to request confidential status will be that friends or relatives trying to
reach you will not be able to do so through the college; information that you are a student here will be suppressed,
so that if a loan company, perspective employer, family members, etc., inquire about you, they will be informed that
we have no record of your attendance at River Parishes Community College. Once you have designated a
confidential classification, it will not be removed until you submit a signed authorization requesting that it be
Date ______________ Student’s Signature ________________________
click to sign
click to edit