DIRECTORY EXCLUSION REQUEST

112 College Drive Wells, ME 04090

Toll free (800) 580-3820

Under the provisions of the Family Educational Rights and Privacy Act of 1974, as Amended, you have the right to withhold the disclosure of any or all of the categories of "Directory Information".

Please consider very carefully the consequences of any decision by you to withhold "Directory Information". Should you decide to inform YCCC not to release any or all of your "Directory Information," any future requests for such information from non-institutional persons or organizations will be refused. Examples of information that will be suppressed for inquiries include: requests from family, prospective employers and friends as well as enrollment verifications for insurance and student loan purposes. In addition information regarding President’s List, Dean’s List, other honors and graduation activities will be withheld from publication.

Regardless of the effect upon you, YCCC assumes no liability for honoring your instructions that such information be withheld.

If you would like to have your "Directory Information" excluded please sign and date this form. This form must be returned to the Registrar’s office by the end of the add/drop period to have your information withheld from the current semester’s published directory. If at any point after this date you wish to have your information excluded please confer with the Registrar’s office in person. Any exclusion will remain in effect until you notify us in writing.