Request for Nondisclosure of Directory Information

This is to request that Ohio Northern University NOT DISCLOSE any directory information concerning me without my written permission.

This request includes but is not limited to :

• Removal of any reference to me from the University Directory ( Both Printed or Internet versions ).
• No news releases to my hometown newspaper.

This request for nondisclosure is in effect until rescinded in writing.
Students should recind the request for non disclosure prior to graduation, otherwise the university cannot properly respond to inquiries from potential employers.

If nondisclosure is requested then the response to all inquiries to the University concerning you will be:

We are not authorized to release any information on that individual.

Complete this form, sign and date, and bring it to the Registrar's Office to implement 'nondisclosure'.