Request to Remove the Action of Withholding Directory Information
Please print, sign, and return the completed form to:
Office of the University Registrar
112 Shields Building
University Park, PA 16802
Please print, sign, and return the completed form to:
Office of the University Registrar
112 Shields Building
University Park, PA 16802
NOTE: Students with access to LionPATH should complete and submit a request to release directory information using the Change Directory Info (FERPA) form in LionPATH.
I hereby request the Office of the University Registrar to release my previous Request to Withhold Directory Information that I filed.
- Name
- Address (local, permanent residence and electronic mail)
- Telephone number
- Class level (semester class or level: first-year, sophomore, junior, senior, etc.)
- Major
- Student activities
- Weight/height (athletic teams)
- Dates of attendance
- Enrollment status (full-time, part-time, or not enrolled)
- Date of graduation
- Degrees and awards received and where received
- Most recent educational institution attended
To process this request you must present this form along with photo identification to any campus Registrar's office or mail this form along with a copy of photo identification to the address listed above.
I have read this form carefully and understand the consequences of my decision to release my directory information. I understand:
- that all directory information listed above may be released freely.
- that my directory information is subject to publication on the Web and printed campus directories.
