Current Students > Registration > Registration Forms > Directory Release Form

Directory Release Form

Under the provisions of the Family Educational Rights and Privacy Act of 1974, Bergen Community College may release directory information to non-institutional persons or organizations upon request. Directory information may include: name, address, telephone number, program of student, enrollment status, dates of enrollment, date of actual or anticipated graduation, degree earned, and any honors received. If you wish Bergen Community College to withhold your directory information, please enter your information and click on "I agree" to submit this form directly to the Admissions and Records Office.

 

Date:*