My Union - Incoming Students - FERPA Opt-Out

Withhold Directory Information Form

(FERPA Opt Out)

This form allows students to withhold directory information from being released to internal and external parties. Completion of this form is not applicable to the student directory or other purposes with legitimate educational need. Union students can complete and submit this form at any time.

View the registrar webpage for more information about FERPA including the definition of directory information.

Complete the following fields, then select SUBMIT.

UNI (University Network ID)*

Full Name*

Date of Birth (M/D/YYYY)*

Union Email*

I give permission to Union Theological Seminary to release my directory information when requested.

Yes

No

*

My electronic signature below serves as verification that I understand the above selection, and confirms that I am the student completing this form.

Signature *

Date (D/M/YYYY)*